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Individual

ROBERT A IZENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
NAVAL MEDICAL CENTER DEPT OF SURGERY, 34730 BOB WILSON DR., BLDG 3, 4TH FLOOR, SAN DIEGO, CA 92134-3400
(619) 532-7006
(619) 532-7673
Mailing address
NAVAL MEDICAL CENTER DEPT OF SURGERY, 34730 BOB WILSON DR., BLDG 3, 4TH FLOOR, SAN DIEGO, CA 92134-3400
(619) 532-7006
(619) 532-7673

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G 58288
CA
208600000X
Surgery Physician
M 9378
ID
2086S0102X
Surgical Critical Care Physician
G58288
CA
2086S0102X
Surgical Critical Care Physician
M9378
ID
2086S0127X
Trauma Surgery Physician
Primary
G58288
CA
2086S0127X
Trauma Surgery Physician
M9378
ID

Other

Enumeration date
07/12/2005
Last updated
01/23/2012
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