Organization
REDWOOD DERMATOPATHOLOGY LABORATORY
Active
Other names
Redwood Family Dermatology Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L SUGARMAN MD (OWNER PRESIDENT)
(707) 545-4537
Entity
Organization
Contact information
Practice address
2725 MENDOCINO AVE, SANTA ROSA, CA 95403-2805
(707) 545-4537
(707) 545-6726
Mailing address
2725 MENDOCINO AVE, SANTA ROSA, CA 95403-2805
(707) 545-4537
(707) 545-6726
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 329844
CA
Other
Enumeration date
05/14/2007
Last updated
08/21/2007
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