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Organization
SUTTER MEDICAL GROUP OF THE REDWOODS
Active
Organization
SUTTER MEDICAL GROUP OF THE REDWOODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E ROCKSTROH (CREDENTIALING SPECIALIST)
(707) 521-8809
Entity
Organization
Contact information
Practice address
1200 SONOMA AVE, SUITE 6, SANTA ROSA, CA 95405-6664
(707) 545-2545
(707) 545-1829
Mailing address
3883 AIRWAY DR, SANTA ROSA, SANTA ROSA, CA 95403-1670
(707) 521-8809
(707) 521-8835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
—
CA
363L00000X
Nurse Practitioner
—
CA
Other
Enumeration date
03/16/2007
Last updated
07/21/2022
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