JOHN BASKERVILLE IMBODEN

SAN FRANCISCO, CA
NPI1275689408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RR0500X Internal Medicine, Rheumatology
(Licence: CA  G44969)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  G44969)
Enumeration Date2007-01-29
Last Update Date2012-01-17
Business Address
-- JOHN BASKERVILLE IMBODEN MD
1001 POTRERO AVENUE BLDG 30 RM 3300
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-5438
Mailing Address
-- JOHN BASKERVILLE IMBODEN MD
PO BOX 7464
SAN FRANCISCO, CA 94120-7464
Phone number: 415-206-3103