Provider First Line Business Practice Location Address:
900 HYDE STREET
Provider Second Line Business Practice Location Address:
CENTER FOR SPORTS MEDICINE
Provider Business Practice Location Address City Name:
SAN FRANCSICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-927-1900
Provider Business Practice Location Address Fax Number:
415-491-4647
Provider Enumeration Date:
08/16/2006