Organization
REDWOOD REGIONAL MEDICAL GROUP, INC.
Active
Parent organization
REDWOOD REGIONAL MEDICAL GROU
Other names
Advanced Imaging Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD REGIONAL MEDICAL GROU
Authorized official
HELEN COLLINS M.D. (PRESIDENT)
(707) 546-4062
Entity
Organization
Contact information
Practice address
3540 MENDOCINO AVE STE 100, SANTA ROSA, CA 95403-2276
(707) 528-3526
(707) 528-6140
Mailing address
3540 MENDOCINO AVE STE 100, SANTA ROSA, CA 95403-2276
(707) 528-3526
(707) 528-6140
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR004920A
—
CA
Enumeration date
08/11/2006
Last updated
11/13/2007
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