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Organization
WOMENS OB/GYN MEDICAL GROUP
Active
Organization
WOMENS OB/GYN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONA ROMANO (MANAGER)
(707) 579-1102
Entity
Organization
Contact information
Practice address
500 DOYLE PARK DRIVE, SUITE 103, SANTA ROSA, CA 95405-9559
(707) 579-1102
(707) 579-1386
Mailing address
500 DOYLE PARK DRIVE, SUITE 103, SANTA ROSA, CA 95405-9559
(707) 579-1102
(707) 579-1386
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088200
—
CA
Enumeration date
09/15/2006
Last updated
08/01/2013
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