Entegrative Otolaryngology PC
Entegrative Otolaryngology PC is an Otolaryngology/Facial Plastic Surgery Physician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1144 Sonoma Ave Ste 101Santa Rosa, CA 95405-4812
Phone: (707) 775-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology/Facial Plastic Surgery Physician (primary) | Taxonomy 207YX0905X · Licence C3527438 (CA) |
|---|
Record details
| NPI number | 1417294174 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Gambrell — Director/Ceo · (267) 456-4848 |
| NPI enumerated | January 14, 2013 |
| Last updated in NPPES | January 14, 2013 |
| Mailing address | 1144 Sonoma Ave Ste 101, Santa Rosa, CA 95405-4812 |
Other providers in Santa Rosa
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Charles Robert Pettit MD a Medical Corporation
175 Concourse Blvd, Santa Rosa, CA 95403-8217 · (707) 284-9200