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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
1400 MEDICAL CENTER DR, SUITE A, ROHNERT PARK, CA 94928-2924
(707) 586-0440
(707) 586-1444
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
207V00000X
Obstetrics & Gynecology Physician
—
CA
363L00000X
Nurse Practitioner
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055425
—
CA
Enumeration date
10/06/2006
Last updated
07/21/2022
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