Organization
SUTTER TRAUMA ASSESSMENT TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS A KOSAKOWSKI M.D. (PRESIDENT)
(707) 578-2480
Entity
Organization
Contact information
Practice address
3325 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 578-2480
(707) 591-0224
Mailing address
PO BOX 1207, SANTA ROSA, CA 95402-1207
(707) 578-2480
(707) 591-0224
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089850
—
CA
Enumeration date
06/17/2006
Last updated
08/22/2020
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