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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
3315 CHANATE RD, SUITE 1C, SANTA ROSA, CA 95404-1736
(707) 571-2486
(707) 575-1872
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
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
CA
207RG0100X
Gastroenterology Physician
—
CA
208600000X
Surgery Physician
—
CA
2086S0129X
Vascular Surgery Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0005542A
—
CA
Enumeration date
10/03/2006
Last updated
07/21/2022
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