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Organization
NORTH BAY MEDICAL GROUP SURGERY CENTER
Active
Organization
NORTH BAY MEDICAL GROUP SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JAMES KRAUT M.D. (PRESIDENT)
(707) 591-0619
Entity
Organization
Contact information
Practice address
4415 SONOMA HWY, SUITE B, SANTA ROSA, CA 95409-7100
(707) 591-0619
(707) 591-0617
Mailing address
3850 MONTGOMERY DR, SUITE D, SANTA ROSA, CA 95405-5207
(707) 591-0619
(707) 591-0617
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS1628
CA
Other
Enumeration date
01/12/2007
Last updated
07/21/2008
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