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Individual

DR. AUDREY DENISE SELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1111 MARKET ST, FIRST FLOOR, SAN FRANCISCO, CA 94103-1513
(415) 863-3883
(415) 863-7343
Mailing address
1111 MARKET ST, FIRST FLOOR, SAN FRANCISCO, CA 94103-1513
(415) 863-3883
(415) 863-7343

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G62874
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D869143
CLIA WAIVER
CA
01
OOG628740
MEDI-CAL
CA
Enumeration date
01/30/2007
Last updated
03/07/2023
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