Organization
PSINC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BUNCKE M.D. (CLINIC DIRECTOR/)
(415) 565-6136
Entity
Organization
Contact information
Practice address
45 CASTRO ST STE 111, SAN FRANCISCO, CA 94114-1019
(415) 565-6136
(415) 864-1654
Mailing address
45 CASTRO ST STE 111, SAN FRANCISCO, CA 94114-1019
(415) 565-6136
(415) 864-1654
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G49617
CA
Other
Enumeration date
03/24/2015
Last updated
05/11/2015
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