| Scog Physician Assistant Corporation | |
|
1688 Tecado Dr Santa Rosa CA 95403-7976 | |
| (707) 602-0013 | |
| (707) 581-1900 |
| Full Name | Scog Physician Assistant Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1688 Tecado Dr, Santa Rosa, California |
| Authorized Official Name and Position | Ruth Volkenant (OWNER) |
| Authorized Official Contact | 7076020013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scog Physician Assistant Corporation 1688 Tecado Dr Santa Rosa CA 95403-7976 Ph: (707) 602-0013 | Scog Physician Assistant Corporation 1688 Tecado Dr Santa Rosa CA 95403-7976 Ph: (707) 602-0013 |
| NPI Number | 1457281552 |
|---|---|
| Provider Enumeration Date | 05/20/2026 |
| Last Update Date | 05/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457281552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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