Redwood Pediatric Medical Group
NPI #1164574083 in Fortuna, California
Provider Information
- NPI Number
- 1164574083
- Entity Type
- Organization
- Organization Name
- Redwood Pediatric Medical Group
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3305 RENNER DR
- City
- Fortuna
- State
- California
- ZIP Code
- 95540-3119
- Phone
- (707) 725-9355
Authorized Official
- Name
- MRS. SHALAMAR IVEY
- Title
- BILLING MANAGER
- Phone
- (707) 725-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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