Individual
ANTHONY SANTIAGO CORDOVA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
790 SONOMA AVE, SANTA ROSA, CA 95404-4713
(707) 360-4368
Mailing address
2403 PROFESSIONAL DR, SANTA ROSA, CA 95403-3007
(707) 360-4387
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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