Redwood Internal Medicine

NPI #1740246669 in Fortuna, California

Provider Information

NPI Number: 1740246669
Entity Type: Organization
Organization Name: Redwood Internal Medicine
Primary Specialty: Internal Medicine
Enumeration Date: Apr 21, 2006
Last Updated: Jul 2, 2008

Practice Location

Address: 3304 RENNER DRIVE
City: Fortuna
State: California
ZIP Code: 95540
Phone: (707) 725-4477

Authorized Official

Name: MRS. THERESA ANN SISSON
Title: OFFICE MANAGER
Phone: (707) 725-4477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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