Individual
ROBIN LLOYD DIETZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA UNIVERSITY MEDICAL CENTER - PATHOLOGY, LOMA LINDA, CA 92354-2804
(909) 558-4094
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A142724
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/01/2014
Last updated
05/20/2020
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