Organization
RONALD COTLIAR MD INC
Active
Organization
RONALD COTLIAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN T RILEY (OFFICE MANAGER)
(714) 731-0061
Entity
Organization
Contact information
Practice address
13420 NEWPORT AVE, SUITE G, TUSTIN, CA 92780-3745
(714) 731-0061
(714) 731-0164
Mailing address
13420 NEWPORT AVE, SUITE G, TUSTIN, CA 92780-3745
(714) 731-0061
(714) 731-0164
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G25069
CA
Other
Enumeration date
04/26/2010
Last updated
05/10/2010
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