Organization
SUTTER WEST BAY MEDICAL FOUNDATION
Active
Parent organization
SUTTER WEST BAY MEDICAL FOUNDATION
Other names
Endoscopy Center of Santa Rosa
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER WEST BAY MEDICAL FOUNDATION
Authorized official
MICHAEL J. COHILL (PRESIDENT)
(415) 600-7771
Entity
Organization
Contact information
Practice address
1200 SONOMA AVE, STE 2, SANTA ROSA, CA 95405-6664
(707) 571-2192
(707) 571-2194
Mailing address
2015 STEINER ST, SAN FRANCISCO, CA 94115-2627
(415) 600-4280
(415) 600-2128
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
08/01/2012
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