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Individual

DR. SCOTT C. KOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 514-1590
(415) 353-1106
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
G76590
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G76590
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G765900
CA
Enumeration date
06/12/2006
Last updated
06/12/2008
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