Sawyer, Russell Wayne

Sawyer, Russell Wayne is an individual health care provider with primary practice located at 246 Perkins St , Sonoma CA 95476-6954. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sawyer, Russell Wayne can be contacted via phone (707) 938-7690.

Contact Information

Primary practice address
246 Perkins St Sonoma CA 95476-6954
Phone: (707) 938-7690
Fax: (844) 581-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G66227 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 511294 California

Profile Details

NPI number 1700815305
LBN Legal business name Sawyer, Russell Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700815305 NPPES
California Other G66227 STATE MEDICAL LICENSE
California Other 101036100 STATE MEDICAL LICENSE
California Other 85507539 STATE MEDICAL LICENSE

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