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Organization

NORTHERN CALIFORNIA MEDICAL ASSOC

Active
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Organization

NORTHERN CALIFORNIA MEDICAL ASSOC

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

Provider details

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

Contact information

Practice address
1116 B ST, PETALUMA, CA 94952-4054
(707) 782-9123
(707) 782-9622
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 782-9123
(707) 782-9622

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
05/14/2019
Last updated
05/14/2019
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