IVAN DEDRICK GAVIN HAMILTON

SAN FRANCISCO, CA
NPI1669421202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A104632)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MD  D63437)
Enumeration Date2006-05-10
Last Update Date2021-05-28
Business Address
IVAN DEDRICK GAVIN HAMILTON M.D.
2351 CLAY ST SUITE 308
SAN FRANCISCO, CA 94115-1931
Phone number: 415-600-3458
Mailing Address
IVAN DEDRICK GAVIN HAMILTON M.D.
1700 MCHENRY AVE STE 65B259
MODESTO, CA 95350-4373
Phone number: 209-579-5628