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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 ROCKSTROH (CREDENTIALING SPECIALIST)
(707) 521-8809
Entity
Organization
Contact information
Practice address
3317 CHANATE RD, SUITE 2C, SANTA ROSA, CA 95404-1737
(707) 570-1130
(707) 571-2478
Mailing address
3883 AIRWAY DR, SUITE 300, SANTA ROSA, CA 95403-1670
(707) 521-8809
(707) 521-8835
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055426
—
CA
Enumeration date
10/11/2006
Last updated
04/08/2008
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