Susan P Detwiler, MD Valid NPI

Individual provider · Dermatopathology Physician · La Jolla, CA

NPI

1184656290

Type

Individual (Type 1)

Primary specialty

Dermatopathology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ND0900X

License number

G75321 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-07-07

Last updated

2009-04-28