ADRIENNE MCGRAEL SOUDERS MD INC NPI 1093979767

NPI Information

ADRIENNE MCGRAEL SOUDERS MD INC is an addiction medicine family medicine in San Mateo, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ADRIENNE MCGRAEL SOUDERS MD INC NPI is 1093979767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 BAYWOOD AVE
STE 5
SAN MATEO, CA
ZIP 94402-537
Phone: (650) 375-7706
Fax: (650) 375-7899

The provider's authorized official is Adrienne L Mcgrael Souders .
The authorized official title is Owner and has the following contact phone number (650) 375-7706.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 7/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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