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Organization

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Active
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Organization

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Active
Other names
Northern California Medical Associates, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY A DEWALD (DIRECTOR OF BUSINESS SERVICES)
(707) 525-6485
Entity
Organization

Contact information

Practice address
990 SONOMA AVE STE 18, SANTA ROSA, CA 95404
(707) 578-1222
(707) 578-8348
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
CA

Other

Enumeration date
02/13/2018
Last updated
08/07/2018
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