Organization · Type 2 NPI

Randall E Woesner MD Inc

Medical Specialty Clinic/Center · Ukiah, CA

NPI number 1609069830 Active

Practice location

248 Hospital Dr Ste A
Ukiah, CA 95482-4555

Fax (707) 463-2195

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XG44111 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1609069830

Randall E Woesner MD Inc's National Provider Identifier is 1609069830, issued on Aug 21, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Ukiah, CA. The record was last updated on Nov 27, 2007.