Organization
REDWOOD REGIONAL MEDICAL GROUP
Active
Parent organization
REDWOOD REGIONAL MEDICAL GROUP
Other names
Advanced Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD REGIONAL MEDICAL GROUP
Authorized official
HELEN COLLINS M.D. (PRESIDENT)
(707) 546-4062
Entity
Organization
Contact information
Practice address
652 PETALUMA AVE, SUITE I, SEBASTOPOL, CA 95472-4256
(707) 829-2141
(707) 829-2966
Mailing address
652 PETALUMA AVE STE I, SEBASTOPOL, CA 95472-4266
(707) 829-2141
(707) 829-2966
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0049209
—
CA
Enumeration date
10/06/2006
Last updated
11/15/2007
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