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NPI Code Detail

MEDICARE: DAVID PINE MD

MEDICARE: DAVID PINE MD
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
12084P0800XPsychiatry Physician211915NY
22084P0800XPsychiatry PhysicianA83546CA
32084P0800XPsychiatry PhysicianMD.204402LA

General Provider Information

NPI Number : 1164442273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID PINE MD
Provider Business Mailing Address
First Line : 1520 HOWARD ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2525
Country : US
Telephone Number : 415-355-8309
Fax Number :
Provider Business Practice Location Address
First Line : 1520 HOWARD ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2525
Country : US
Telephone Number : 415-355-8309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 03/29/2011

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Directions to “ DAVID PINE MD” Practice Location

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