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Individual
DR. ROBERT CLYDE HOSTETTER
Active
Individual
DR. ROBERT CLYDE HOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G33650
CA
208D00000X
General Practice Physician
G33650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G336500
—
CA
Enumeration date
01/20/2006
Last updated
12/20/2007
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