Organization
NORTH COAST FACULTY MEDICAL GROUP INC
Active
Other names
Sutter Medical Group of the Redwoods
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN E LEVENBERG DO (PRESIDENT)
(707) 521-8879
Entity
Organization
Contact information
Practice address
555 PETALUMA AVE, SEBASTOPOL, CA 95472-4224
(707) 829-8426
(707) 829-6675
Mailing address
3883 AIRWAY DR, SUITE 300, SANTA ROSA, CA 95403-1670
(707) 521-8809
(707) 521-8835
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
08/25/2009
Last updated
10/16/2009
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