Individual
ROBERT ELIOT DETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 HOOVER ST, CARLSBAD, CA 92008-4231
(760) 672-2687
Mailing address
1230 HOOVER ST, CARLSBAD, CA 92008-4231
(760) 672-2687
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
GFE 19292
CA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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