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Annadel Medical Group
Specialist in Santa Rosa, California
NPI 1740602309

Annadel Medical Group is a Specialist based in Santa Rosa, CA. Annadel Medical Group practices in Santa Rosa, CA. The NPI Number for Annadel Medical Group is 1740602309 and holds a License No. G22056 (California).

The current practice location address for Annadel Medical Group is 1165 Montgomery Dr, Santa Rosa, CA and can be reached out via phone at 707-303-8307 and via fax at 707-303-1992.

Location: 1165 Montgomery Dr, Santa Rosa, CA, 95405-4801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740602309
Provider Name
Annadel Medical Group
Credential
Provider Entity Type
Organization
Address
1165 Montgomery Dr, Santa Rosa, CA, 95405-4801
Phone Number
707-303-8307
Fax Number
707-303-1992
Provider Enumeration Date
01/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1165 Montgomery Dr
City
Santa Rosa
State
California
Zip
95405-4801
Phone Number
707-303-8307
Fax Number
707-303-1992
person
Provider Business Mailing Address Details
Address
1165 Montgomery Dr
City
Santa Rosa
State
California
Zip
95405-4801
Phone Number
707-303-8307
Fax Number
707-303-1992
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G22056 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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