Susan P Detwiler MD INC
NPI #1962611350 in La Jolla, California
Provider Information
- NPI Number
- 1962611350
- Entity Type
- Organization
- Organization Name
- Susan P Detwiler MD INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 22, 2007
- Last Updated
- Feb 18, 2009
Practice Location
- Address
- 7110 CAMINITO PEPINO
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-5721
- Phone
- (858) 539-7300
Authorized Official
- Name
- DR. SUSAN P DETWILER, MD
- Title
- PRESIDENT
- Phone
- (858) 539-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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