Provider Demographics
NPI:1497731921
Name:GOODING, GRETCHEN AW (MD)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:AW
Last Name:GOODING
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8 OVERHILL RD
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1378
Mailing Address - Country:US
Mailing Address - Phone:415-388-1766
Mailing Address - Fax:415-388-1766
Practice Address - Street 1:SAN FRANCISCO VAMC, 4150 CLEMENT STREET
Practice Address - Street 2:DEPT OF RADIOLOGY, (114) RM.2A 173
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:415-750-6944
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAC 303762085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound