ALLERGY & ASTHMA ADULT & PEDIATRIC MEDICAL GROUP OF THE REDWOODS INC

SANTA ROSA, CA
NPI1730257932
Doing Business AsFAMILYCARE ALLERGY AND ASTHMA
Entity TypeOrganization
Authorized ContactJOHN F PETRICK
CEO
707-525-0211
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: CA  C132754)
Additional Taxonomies207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology
(Licence: CA  G29076)
207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology
(Licence: CA  G33461)
Enumeration Date2006-12-04
Last Update Date2015-11-16
Business Address
ALLERGY & ASTHMA ADULT & PEDIATRIC MEDICAL GROUP OF THE REDWOODS INC
130 STONY POINT RD SUITE E
SANTA ROSA, CA 95401-4120
Phone number: 707-525-0211
Mailing Address
ALLERGY & ASTHMA ADULT & PEDIATRIC MEDICAL GROUP OF THE REDWOODS INC
130 STONY POINT RD SUITE E
SANTA ROSA, CA 95401-4120
Phone number: 707-525-0211