Individual
DR. ANDREW DYLAN FRUTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, HAL B. WALLIS BLDG., RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
(760) 340-4874
Mailing address
39000 BOB HOPE DR, HAL B. WALLIS BLDG., RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
(760) 340-4874
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C54394
CA
207RC0000X
Cardiovascular Disease Physician
MD28481
OR
207RI0011X
Interventional Cardiology Physician
Primary
C54394
CA
207RI0011X
Interventional Cardiology Physician
MD28481
OR
Other
Enumeration date
07/02/2006
Last updated
11/12/2010
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