Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY SUSANNE MAGNUSON
ActiveBETHANY SUSANNE MAGNUSON is a Sports Medicine (PM&R) healthcare provider located in SANTA ROSA, California. NPI 1982197059 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · SANTA ROSA, CA
Registration Details
- NPI Number
- 1982197059
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2018 (8.2189356973985 yrs)
- Last Updated
- Jun 12, 2018
- License
-
070502037 (CA)
Practice Information
- Address
-
721 BRENTWOOD DRSANTA ROSA, CA, 954056607Browse CA providers · Browse ZIP 95405
- Phone
- 7854108246
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.