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Organization

EDWARD E. ROTAN, JR., MD, P.A.

Active
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Organization

EDWARD E. ROTAN, JR., MD, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD ROTAN SR. (CEO)
(951) 255-2487
Entity
Organization

Contact information

Practice address
715 N FIELDER RD, ARLINGTON, TX 76012-4695
(817) 261-1626
Mailing address
11726 SAN VICENTE BLVD, SUITE 300, LOS ANGELES, CA 90049-5044
(951) 255-2487

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
07/07/2009
Last updated
07/07/2009
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