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Entegrative Otolaryngology Pc
Otolaryngology/Facial Plastic Surgery Physician in Santa Rosa, California
NPI 1417294174

Entegrative Otolaryngology Pc is a Otolaryngology/Facial Plastic Surgery Physician based in Santa Rosa, CA and is specialized in Otolaryngology/Facial Plastic Surgery. Entegrative Otolaryngology Pc practices in Santa Rosa, CA. The NPI Number for Entegrative Otolaryngology Pc is 1417294174 and holds a License No. C3527438 (California).

The current practice location address for Entegrative Otolaryngology Pc is 1144 Sonoma Ave Ste 101, Santa Rosa, CA and can be reached out via phone at 707-775-0775.

Location: 1144 Sonoma Ave Ste 101, Santa Rosa, CA, 95405-4812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417294174
Provider Name
Entegrative Otolaryngology Pc
Credential
Provider Entity Type
Organization
Address
1144 Sonoma Ave Ste 101, Santa Rosa, CA, 95405-4812
Phone Number
707-775-0775
Fax Number
Provider Enumeration Date
01/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1144 Sonoma Ave Ste 101
City
Santa Rosa
State
California
Zip
95405-4812
Phone Number
707-775-0775
Fax Number
person
Provider Business Mailing Address Details
Address
1144 Sonoma Ave Ste 101
City
Santa Rosa
State
California
Zip
95405-4812
Phone Number
707-775-0775
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
C3527438 (California)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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