Annadel Medical Group, INC

NPI #1114177425 in Santa Rosa, California

Provider Information

NPI Number: 1114177425
Entity Type: Organization
Organization Name: Annadel Medical Group, INC
Primary Specialty: Pediatrics
Enumeration Date: Sep 23, 2008
Last Updated: May 31, 2013

Practice Location

Address: 500 DOYLE PARK DR
Address 2: SUITE 100
City: Santa Rosa
State: California
ZIP Code: 95405-4558
Phone: (707) 544-6090

Authorized Official

Name: RICHARD E IGRAM
Title: VICE PRESIDENT
Phone: (714) 937-6280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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