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Organization
JAMES E O'DORISIO MD A PROFESSIONAL CORPORATION
Active
Organization
JAMES E O'DORISIO MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E. O'DORISIO MD (OWNER)
(707) 578-3000
Entity
Organization
Contact information
Practice address
76 BROOKWOOD AVE, SANTA ROSA, CA 95404-4312
(707) 578-3000
(707) 540-6407
Mailing address
76 BROOKWOOD AVE, SANTA ROSA, CA 95404-4312
(707) 578-3000
(707) 540-6407
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A44147
CA
Other
Enumeration date
05/17/2013
Last updated
08/11/2015
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