Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A64667 | CA |
NPI | 1003851858 |
---|---|
Provider Name | Dr. Deborah A Greer |
First Address | San Francisco, CA 94139-0001 |
Second Address | Walnut Creek, CA 94597-2168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 02/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A646670 | (05) | CA |
G82150 | (02) | CA |
P01019288 | RAILROAD MEDICARE (01) | CA |