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Organization
SYNERGY MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization
SYNERGY MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LIU D.O. (MANAGING DIRECTOR)
(707) 576-7000
Entity
Organization
Contact information
Practice address
4655 HOEN AVE STE 4, SANTA ROSA, CA 95405-7830
(707) 576-7000
Mailing address
4655 HOEN AVE STE 4, SANTA ROSA, CA 95405-7830
(707) 576-7000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ20427Z
MEDICARE PTAN
CA
Enumeration date
09/29/2006
Last updated
02/01/2016
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