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Individual

ROBERT DETRINIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7400 ROPER LN, DAPHNE, AL 36526-5274
(251) 450-2211
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-5916
(251) 662-7297

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
LA9582R
LA
2084P0800X
Psychiatry Physician
Primary
MD.44998
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962520
LA
Enumeration date
06/06/2006
Last updated
10/07/2022
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