Organization
N COAST FACULTY MEDICAL GROUP DBA SUTTER MEDICAL GROUP OF THE REDWOODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN E LEVENBERG D.O. (PRESIDENT, SMGR)
(707) 521-8879
Entity
Organization
Contact information
Practice address
3883 AIRWAY DR, SANTA ROSA, CA 95403-1670
(707) 521-8809
(707) 521-8835
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
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
08/25/2009
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