MEDICARE: MR. GERARD RAYMOND DUNPHY RNFA

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	364SP2800X	Perioperative Clinical Nurse Specialist	321443	CA

General Provider Information

NPI Number	:	1528057999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GERARD RAYMOND DUNPHY RNFA

Provider Business Mailing Address
First Line	:	2216 JONES ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94133-2208
Country	:	US
Telephone Number	:	415-513-2912
Fax Number	:

Provider Business Practice Location Address
First Line	:	2216 JONES ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94133-2208
Country	:	US
Telephone Number	:	415-513-2912
Fax Number	:

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/08/2007

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