Individual
ALISA DIANE GEAN-GERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 POTRERO AVE, RM 1X55, SAN FRANCISCO, CA 94110-3518
(415) 206-5871
(415) 206-4004
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 502-7648
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G66034
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G66034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G660340
—
CA
Enumeration date
06/22/2006
Last updated
07/21/2008
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