| Organization Name: | SUTTER MEDICAL GROUP OF THE REDWOODS |
| NPI Number: | 1720120116 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA E ROCKSTROH (CREDENTIALING SPECIALIST) |
| Mailing Address: | 4700 Hoen Ave Santa Rosa |
| State: | CA US |
| Postal Code: | 954057824 |
| Phone Number: | 7075263360 |
| Fax Number: | 7075260554 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 05/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |