NPI 1184656290

Susan P Detwiler, MD

Practitioner Dermatopathology Physician La Jolla, CA

Practice location

Address: 7110 Caminito Pepino, La Jolla, CA 92037-5721
Phone: (858) 539-7300
Fax: (858) 539-7305
Mailing address: 7076 Caminito Valverde, La Jolla, CA 92037-5723

Registered specialties (2)

Dermatopathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence G75321 (CA)

Other Dermatology providers in California →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence G75321 (CA)

Registry record

NPI: 1184656290
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2006
Record last updated: 28 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.