Individual
DR. TERESA BLEAKLY KORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MS
Contact information
Practice address
550 16TH ST FL 5, SAN FRANCISCO, CA 94143-2549
(415) 502-5825
Mailing address
UCSF DEPARTMENT OF PEDIATRICS, MAILCODE 0106, 550 16TH STREET, 5TH FLOOR, SAN FRANCISCO, CA 94143
(415) 502-5825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A109795
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A109795
CA
Other
Enumeration date
06/12/2008
Last updated
01/15/2019
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