Provider First Line Business Practice Location Address:
500 PARNASSUS AVE UNIVERSITY OF CALIFORNIA SAN FRANCISC
Provider Second Line Business Practice Location Address:
MU408E, BOX 0136 PEDIATRIC GASTROENTEROLOGY
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-5892
Provider Business Practice Location Address Fax Number:
415-476-1343
Provider Enumeration Date:
05/20/2008