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Organization

REDWOOD REGIONAL MEDICAL GROUP, INC.

Active
Other names
Redwood Regional Oncology Center
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID H. SCHMIDT M.D. (M.D./RADIOLOGIST)
(707) 546-4062
Entity
Organization

Contact information

Practice address
110 LYNCH CREEK WAY STE 110, PETALUMA, CA 94954-2337
(707) 763-0600
(707) 765-1757
Mailing address
110 LYNCH CREEK WAY STE 110, PETALUMA, CA 94954-2337
(707) 763-0600
(707) 765-1757

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF10300
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0049200
CA
05
GR004920B
CA
Enumeration date
10/26/2006
Last updated
08/22/2020
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