Organization
ADVENTIST HEALTH PHYSICIANS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY J. MCKAGUE (C.F.O.)
(916) 789-4209
Entity
Organization
Contact information
Practice address
500 DOYLE PARK DR, SUITE 106A, SANTA ROSA, CA 95405-4558
(707) 967-5721
(707) 967-5722
Mailing address
2100 DOUGLAS BLVD, ROSEVILLE, CA 95661-3804
(916) 789-4209
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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