Organization
SANTA ROSA AMBULATORY SURGICAL CENTER MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE PAPPAS (CFO)
(707) 523-4907
Entity
Organization
Contact information
Practice address
76 BROOKWOOD AVE STE B, SANTA ROSA, CA 95404-4312
(707) 523-4907
(707) 523-4953
Mailing address
76 BROOKWOOD AVE STE B, SANTA ROSA, CA 95404-4312
(707) 523-4907
(707) 523-4953
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
07/17/2013
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