| Airport Medical Clinic | |
|
3775 Brickway Blvd. Suite 110 Santa Rosa CA 95403-8272 | |
| (707) 526-5888 | |
| (707) 526-5633 |
| Full Name | Airport Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3775 Brickway Blvd., Santa Rosa, California |
| Authorized Official Name and Position | Robert J Gabbay (SOLE PROPRIETOR) |
| Authorized Official Contact | 7075265888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Airport Medical Clinic 3775 Brickway Blvd. Suite 110 Santa Rosa CA 95403-8272 Ph: (707) 526-5888 | Airport Medical Clinic 3775 Brickway Blvd. Suite 110 Santa Rosa CA 95403-8272 Ph: (707) 526-5888 |
| NPI Number | 1912126376 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 03/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912126376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A6451 (California) | Primary |
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