Organization
EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY A UDELL (CREDENTIALLING)
(707) 823-7628
Entity
Organization
Contact information
Practice address
6574 OAKMONT DR STE A, SANTA ROSA, CA 95409-5958
(707) 579-2020
(707) 539-6183
Mailing address
6574 OAKMONT DR STE A, SANTA ROSA, CA 95409-5958
(707) 579-2020
(707) 539-6183
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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