Organization
HEALTHY STEPS WEIGHT LOSS CENTER MEDICAL CORPORATION
Active
Other names
Healthy Steps Weight Loss Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT O WOODBURY M.D. (PRESIDENT)
(707) 577-7800
Entity
Organization
Contact information
Practice address
4730 HOEN AVENUE, SANTA ROSA, CA 95405
(707) 577-7800
(707) 525-0538
Mailing address
4730 HOEN AVENUE, SANTA ROSA, CA 95405
(707) 577-7800
(707) 525-0538
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102070
—
CA
Enumeration date
11/22/2006
Last updated
11/05/2010
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