Sutter Medical Group Of The Redwoods
Pediatrics in Santa Rosa, CA. Organization (NPI-2).
NPI number1760638449
StatusActive
Last updated in NPPESAug 13, 2008
Details
- NPI
- 1760638449
- Entity type
- Organization (NPI-2)
- Legal business name
- Sutter Medical Group Of The Redwoods
- Organization subpart
- No
- Enumeration date
- Aug 13, 2008
- Last updated
- Aug 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
255 Farmers LnSanta Rosa, CA 95405-4721
Phone 707-545-2255
Mailing address
3883 Airway Dr300
Santa Rosa, CA 95403-1670
Phone 707-521-8809 · Fax 707-521-8835
Authorized official
Steven E Levenberg
President
7075218879
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