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Organization
PACIFIC REDWOOD MEDICAL SERVICES
Active
Organization
PACIFIC REDWOOD MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E EVANS M.D. (CHIEF EXECUTIVE OFFICER)
(707) 462-7900
Entity
Organization
Contact information
Practice address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(707) 462-7900
(707) 462-7947
Mailing address
PO BOX 2800, UKIAH, CA 95482-2800
(707) 462-7900
(707) 462-7947
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
CA
207Q00000X
Family Medicine Physician
—
CA
207R00000X
Internal Medicine Physician
Primary
—
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
CA
208M00000X
Hospitalist Physician
—
CA
363A00000X
Physician Assistant
—
CA
363L00000X
Nurse Practitioner
—
CA
Other
Enumeration date
10/23/2007
Last updated
02/23/2011
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