Organization
REDWOOD REGIONAL MEDICAL GROUP, INC.
Active
Parent organization
REDWOOD REGIONAL MEDICAL GROUP
Other names
Redwood Regional Oncology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD REGIONAL MEDICAL GROUP
Authorized official
HELEN COLLINS M.D. (PRESIDENT)
(707) 546-4602
Entity
Organization
Contact information
Practice address
110 LYNCH CREEK WAY STE A, PETALUMA, CA 94954-2337
(707) 763-0600
(707) 765-1757
Mailing address
110 LYNCH CREEK WAY STE A, PETALUMA, CA 94954-2337
(707) 763-0600
(707) 765-1757
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
291U00000X
Clinical Medical Laboratory
05D0689028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0049200
—
CA
05
—
GR004920B
—
CA
Enumeration date
07/28/2006
Last updated
04/28/2008
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