Providence Medical Foundation
NPI #1265015978 in Santa Rosa, California
Provider Information
- NPI Number
- 1265015978
- Entity Type
- Organization
- Organization Name
- Providence Medical Foundation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 30, 2021
- Last Updated
- Jan 6, 2026
Practice Location
- Address
- 185 SOTOYOME ST
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95405-4803
- Phone
- (707) 303-8355
Authorized Official
- Name
- DONALD W. ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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