Healthcare Provider Details

I. General information

NPI: 1437103884
Provider Name (Legal Business Name): MUNRO, BOOTH & CUTRUZZOLA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 UNIVERSITY ST
HEALDSBURG CA
95448-3382
US

IV. Provider business mailing address

PO BOX 6523
ORANGE CA
92863-6523
US

V. Phone/Fax

Practice location:
  • Phone: 707-431-6500
  • Fax:
Mailing address:
  • Phone: 714-571-5000
  • Fax: 714-571-5055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCIS W CUTRUZZOLA
Title or Position: CEO
Credential: M.D.
Phone: 707-261-7880