Individual
DR. ROBERT RAY NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2026 BROADWAY, SANTA MONICA, CA 90404
(310) 601-4778
Mailing address
2026 BROADWAY, SANTA MONICA, CA 90404
(310) 601-4778
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
A79597
CA
Other
Enumeration date
03/02/2012
Last updated
09/19/2022
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