Provider Demographics
NPI:1629297338
Name:GURNEY, THERESA (MD)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:GURNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAN FRANCISCO OTOLARYNGOLOGY MEDICAL GROUP
Mailing Address - Street 2:450 SUTTER ST STE 933
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-2000
Mailing Address - Country:US
Mailing Address - Phone:415-362-5443
Mailing Address - Fax:415-362-5444
Practice Address - Street 1:450 SUTTER ST STE 933
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108
Practice Address - Country:US
Practice Address - Phone:415-362-5443
Practice Address - Fax:415-362-5444
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91520207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology