Organization
NORTH BAY MEDICAL GROUP SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JAMES KRAUT M.D. (PRESIDENT)
(707) 591-0619
Entity
Organization
Contact information
Practice address
4415 SONOMA HWY, SUITE B, SANTA ROSA, CA 95409-7100
(707) 591-0619
(707) 591-0617
Mailing address
3850 MONTGOMERY DR, SUITE D, SANTA ROSA, CA 95405-5207
(707) 591-0619
(707) 591-0617
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS1628
CA
Other
Enumeration date
01/12/2007
Last updated
07/21/2008
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