Organization · Type 2 NPI
Redwood Pediatric Medical Group
Specialist · Fortuna, CA
NPI number
1164574083
Active
Practice location
3305 Renner Dr
Fortuna, CA 95540-3119
Fax (707) 725-2426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G082256 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
Other specialist providers in Fortuna
About NPI 1164574083
Redwood Pediatric Medical Group's National Provider Identifier is 1164574083, issued on Jan 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fortuna, CA. The record was last updated on Aug 22, 2020.