Provider First Line Business Practice Location Address:
1001 PORTRERO AVE, ROOM 1E21
Provider Second Line Business Practice Location Address:
UCSF - SFGH DEPARTMENT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-206-5752
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2013