Organization
NORTH BAY NEUROSURGICAL ASSOCIATES MEDICAL GROUP
Active
Organization
NORTH BAY NEUROSURGICAL ASSOCIATES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN T. HUNSTOCK M.D. (PRESIDENTI)
(707) 523-1873
Entity
Organization
Contact information
Practice address
525 DOYLE PARK DR, SUITE 102, SANTA ROSA, CA 95405-4516
(707) 525-1873
(707) 523-0119
Mailing address
525 DOYLE PARK DR, SUITE 102, SANTA ROSA, CA 95405-4516
(707) 525-1873
(707) 523-0119
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C40718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0030300
—
CA
Enumeration date
03/26/2007
Last updated
05/21/2012
Update your record
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