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510 Doyle Park Dr Santa Rosa CA 95405-4570 | |
| (707) 526-1800 | |
| (707) 526-9352 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 510 Doyle Park Dr, Santa Rosa, California |
| Authorized Official Name and Position | Steven E Levenberg (PRESIDENT) |
| Authorized Official Contact | 7075218879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3883 Airway Dr Suite 300 Santa Rosa CA 95403-1670 Ph: (707) 521-8809 | 510 Doyle Park Dr Santa Rosa CA 95405-4570 Ph: (707) 526-1800 |
| NPI Number | 1891928834 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 09/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891928834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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