JAMES E O'DORISIO MD A PROFESSIONAL CORPORATION
Radiology at Brookwood Ave, Santa Rosa, CA

License number
California A44147
Category
Radiology
Type
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Owner
Name: JAMES E. O'DORISIO MD
Title: OWNER
Phone: (707) 578-3000
Address
Address
76 Brookwood Ave, Santa Rosa, CA 95404
National Provider ID: 1083050041
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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James E. O'Dorisio, M.D., A Professional Corporation

76 Brookwood Ave, Santa Rosa, CA 95404

Registration:
May 30, 2013
State ID:
03570759
Business type:
Articles of Incorporation
Agent:
Eric Sternberger

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