Provider Demographics
NPI:1679728430
Name:GARDNER, RAQUEL C (MD)
Entity type:Individual
Prefix:DR
First Name:RAQUEL
Middle Name:C
Last Name:GARDNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:35 WALTER ST
Mailing Address - Street 2:#1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1134
Mailing Address - Country:US
Mailing Address - Phone:917-902-5063
Mailing Address - Fax:
Practice Address - Street 1:UCSF DEPT OF NEUROLOGY
Practice Address - Street 2:505 PARNASSUS AVE., BOX 0114
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-1489
Practice Address - Fax:415-476-3428
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital