Organization
SANTA ROSA GASTROENTEROLOGY MEDICAL ASSOCIATES
Active
Organization
SANTA ROSA GASTROENTEROLOGY MEDICAL ASSOCIATES
Active
Other names
SRGMA Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOGAN FAUST MD (MD DIRECTOR)
(707) 544-5093
Entity
Organization
Contact information
Practice address
1210 SONOMA AVE, SUITE B, SANTA ROSA, CA 95405
(707) 544-5093
(707) 528-8444
Mailing address
1210 SONOMA AVE, SUITE B, SANTA ROSA, CA 95405
(707) 544-5093
(707) 528-8444
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101070
—
CA
Enumeration date
10/16/2006
Last updated
10/01/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up