Organization
SUTTER REGIONAL MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN APPENZELLER (CHIEF OPERATING OFFICER)
(707) 434-2049
Entity
Organization
Contact information
Practice address
2700 LOW CT, FAIRFIELD, CA 94534-9715
(707) 432-2500
(707) 432-2565
Mailing address
PO BOX 254978, SACRAMENTO, CA 95865-4978
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTF00410
—
CA
Enumeration date
10/02/2006
Last updated
12/04/2007
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