Individual
DR. EDWARD JOHN ALFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 BON AIR RD STE 101, LARKSPUR, CA 94939-1134
(415) 924-2515
(415) 924-2661
Mailing address
5 BON AIR RD STE 101, LARKSPUR, CA 94939-1134
(415) 924-2515
(415) 924-2661
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
036-114340
IL
204F00000X
Transplant Surgery Physician
Primary
G72742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114340
—
IL
Enumeration date
03/10/2006
Last updated
03/03/2026
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