Organization
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Active
Organization
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH A SKIDMORE (CHIEF EXECUTIVE OFFICER)
(707) 573-6933
Entity
Organization
Contact information
Practice address
4690 HOEN AVE, SANTA ROSA, CA 95405-7823
(707) 573-6942
(707) 575-6038
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 573-6942
(707) 575-6038
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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