Organization
REDWOOD REGIONAL MEDICAL GROUP, INC.
Active
Parent organization
REDWOOD REGIONAL MEDICAL GROUP, INC.
Other names
Redwood Regional Oncology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD REGIONAL MEDICAL GROUP, INC.
Authorized official
DAVID H SCHMIDT M.D. (MD - RADIOLOGIST)
(707) 546-4062
Entity
Organization
Contact information
Practice address
652 PETALUMA AVE STE B, SEBASTOPOL, CA 95472-4266
(707) 823-8565
(707) 823-7851
Mailing address
652 PETALUMA AVE STE B, SEBASTOPOL, CA 95472-4266
(707) 823-8565
(707) 823-7851
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0049208
—
CA
Enumeration date
11/28/2006
Last updated
11/15/2007
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