Organization
ANESTHESIA & ANALGESIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN EDWARD BAUER (PRESIDENT/CEO)
(707) 522-1800
Entity
Organization
Contact information
Practice address
2455 BENNETT VALLEY RD STE C219, SANTA ROSA, CA 95404-5651
(707) 522-1800
Mailing address
PO BOX 49246, SAN JOSE, CA 95161-9246
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0049070
—
CA
Enumeration date
05/05/2006
Last updated
01/08/2025
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