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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
LISA M PHILLIPS (CREDENTIALING SPECIALIST)
(707) 473-4531
Entity
Organization
Contact information
Practice address
625 STEELE LN, SANTA ROSA, CA 95403-3127
(707) 576-4800
(707) 576-4825
Mailing address
15620 HEALDSBURG AVE, HEALDSBURG, CA 95448-9617
(707) 473-4531
(707) 473-4559
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Enumeration date
09/24/2007
Last updated
07/21/2022
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