Provider Demographics
NPI:1053612366
Name:PROTZEL, STEVEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:PROTZEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 TARAVAL ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-2515
Mailing Address - Country:US
Mailing Address - Phone:415-665-0119
Mailing Address - Fax:415-665-3202
Practice Address - Street 1:730 TARAVAL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2515
Practice Address - Country:US
Practice Address - Phone:415-665-0119
Practice Address - Fax:415-665-3202
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH30183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist