Organization
ANNADEL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E IGRAM (VICE PRESIDENT)
(714) 937-6280
Entity
Organization
Contact information
Practice address
500 DOYLE PARK DR, SUITE 100, SANTA ROSA, CA 95405-4558
(707) 544-6090
(707) 544-6694
Mailing address
1515 E ORANGEWOOD AVE, SUITE 302, ANAHEIM, CA 92805-6824
(714) 449-4800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/23/2008
Last updated
05/31/2013
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