Organization · Type 2 NPI

North Coast Faculty Medical Group Inc

Surgery Physician · Sebastopol, CA

NPI number 1710110754 Active

Practice location

555 Petaluma Ave
Sebastopol, CA 95472-4224

Fax (707) 829-6675

Mailing address

3883 Airway Dr, Suite 300
Santa Rosa, CA 95403-1670

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

10 other providers at this address

About NPI 1710110754

North Coast Faculty Medical Group Inc's National Provider Identifier is 1710110754, issued on Aug 25, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Sebastopol, CA. The record was last updated on Oct 16, 2009.