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Organization
PETALUMA VALLEY INTERNAL MEDICINE INC
Active
Organization
PETALUMA VALLEY INTERNAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G STREETER M.D. (PRESIDENT)
(707) 765-1070
Entity
Organization
Contact information
Practice address
1250 BROADWAY, SONOMA, CA 95476-7500
(707) 262-6267
(707) 734-7766
Mailing address
1310 COMMERCE ST #B, PETALUMA, CA 94954-1469
(707) 778-7862
(707) 778-0969
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G55098
CA
Other
Enumeration date
06/08/2006
Last updated
12/12/2018
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