Individual provider · NPI-1

Dr. G. James Avery II

Thoracic Surgery (Cardiothoracic Vascular Surgery) · San Francisco, CA

NPI number1154340289
StatusActive
Last updated in NPPESMay 28, 2020

Details

NPI
1154340289
Entity type
Individual (NPI-1)
Name
Dr. G. James Avery II
Sex
Male
Sole proprietor
No
Enumeration date
Jul 19, 2006
Certification date
May 28, 2020
Last updated
May 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)G38981CAYes

Practice location

1100 Van Ness Ave Fl 5
San Francisco, CA 94109-6920

Phone 415-600-5780 · Fax 415-931-0120

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

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