Organization
UNITED STATES COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALLEN DEVORE (CLINIC ADMINISTRATOR)
(707) 971-9364
Entity
Organization
Contact information
Practice address
410 PENNSYLVANIA AVE # A, PETALUMA, CA 94952-9103
(707) 971-9364
Mailing address
410 PENNSYLVANIA AVE # A, PETALUMA, CA 94952-9103
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us