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Organization
PNC MSK PC
Active
Organization
PNC MSK PC
Active
Parent organization
PNC MSK PC
Other names
Sonoma County Orthopedic and Podiatric Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
PNC MSK PC
Authorized official
SCOTT KOJI FUJII MD (AUTHORIZED OFFICIAL)
(916) 200-0087
Entity
Organization
Contact information
Practice address
3536 MENDOCINO AVE STE 300B, SANTA ROSA, CA 95403-3634
(707) 237-3410
(833) 615-2399
Mailing address
3536 MENDOCINO AVE STE 300B, SANTA ROSA, CA 95403-3634
(707) 237-3410
(833) 615-2399
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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