Individual
ROBERT JEFFREY HERTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1811
(805) 541-2650
(805) 541-4043
Mailing address
15 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1811
(805) 541-2650
(805) 541-4043
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
A25307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A253070
—
CA
Enumeration date
02/17/2006
Last updated
07/12/2010
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