Organization
NORTHERN CALIFORNIA MEDICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH A. SKIDMORE (CHIEF EXECUTIVE OFFICER)
(707) 573-6925
Entity
Organization
Contact information
Practice address
1111 SONOMA AVE, STE 202, SANTA ROSA, CA 95405-4813
(707) 546-7400
(707) 546-7474
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
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
10/27/2007
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