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Organization
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Active
Organization
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Active
Other names
Northern California Medical Associates Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY A DEWALD (BUSINESS SERVICES MANAGER)
(707) 525-6485
Entity
Organization
Contact information
Practice address
830 2ND ST STE A, SANTA ROSA, CA 95404-4620
(707) 380-1838
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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