Individual
SUSAN RANDEL DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3700 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1618
(415) 750-6025
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
(415) 883-8082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G48379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G483790
—
CA
01
—
300130261
RAILROAD MEDICARE
CA
01
—
300130277
RAILROAD MEDICARE
CA
Enumeration date
06/12/2006
Last updated
08/21/2008
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