Organization
NEW DIRECTIONS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S MOORE (PRESIDENT)
(707) 575-1700
Entity
Organization
Contact information
Practice address
2135 ARMORY DR, SUITE 100, SANTA ROSA, CA 95401-3610
(707) 575-1700
(707) 575-1755
Mailing address
2135 ARMORY DR, SUITE 100, SANTA ROSA, CA 95401-3610
(707) 575-1700
(707) 575-1755
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
G55246
CA
Other
Enumeration date
10/15/2007
Last updated
03/25/2008
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