MEDICARE: DR. DAVID JAMES MACGREGOR M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	A70045	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235162447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JAMES MACGREGOR M.D

Provider Business Mailing Address
First Line	:	450 SUTTER ST RM 1824
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4111
Country	:	US
Telephone Number	:	415-989-9400
Fax Number	:	415-788-8004

Provider Business Practice Location Address
First Line	:	450 SUTTER ST RM 1824
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4111
Country	:	US
Telephone Number	:	415-989-9400
Fax Number	:	415-788-8004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	06/30/2020

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