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Organization
REDWOOD REGIONAL MEDICAL GROUP, INC.
Active
Organization
REDWOOD REGIONAL MEDICAL GROUP, INC.
Active
Parent organization
REDWOOD REGIONAL MEDICAL GROUP
Other names
Redwood Regional Oncology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD REGIONAL MEDICAL GROUP
Authorized official
HELEN COLLINS M.D. (PRESIDENT)
(707) 546-4062
Entity
Organization
Contact information
Practice address
3555 ROUND BARN CIR STE 100, SANTA ROSA, CA 95403-1757
(707) 528-1050
(707) 525-3874
Mailing address
3555 ROUND BARN CIR STE 100, SANTA ROSA, CA 95403-1757
(707) 528-1050
(707) 525-3874
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
291U00000X
Clinical Medical Laboratory
05D0612494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0049202
—
CA
05
—
GR004920C
—
CA
Enumeration date
08/09/2006
Last updated
04/28/2008
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