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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 E ROCKSTROH (CREDENTIALING SPECIALIST)
(707) 521-8809
Entity
Organization
Contact information
Practice address
4700 HOEN AVE, SANTA ROSA, CA 95405-7824
(707) 526-3360
(707) 526-0554
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
207Q00000X
Family Medicine Physician
Primary
—
CA
208D00000X
General Practice Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720120116
—
CA
Enumeration date
02/13/2007
Last updated
07/21/2022
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