Organization · Type 2 NPI

Redwood Regional Medical Group Inc

Hematology & Oncology Physician · Santa Rosa, CA

NPI number 1275556607 Active

Practice location

3555 Round Barn Cir
Santa Rosa, CA 95403-1757

Call (707) 525-6124 Map

Fax (707) 525-4093

Mailing address

121 Sotoyome St
Santa Rosa, CA 95405-4823

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Surgery Physician 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Clinical Medical Laboratory 291U00000X05D0612494 (CA)
Nurse Practitioner 363L00000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1275556607

Redwood Regional Medical Group Inc's National Provider Identifier is 1275556607, issued on Jul 26, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 11, 2014.