Doctor Name: | DR. ROBERT CLYDE HOSTETTER |
NPI Number: | 1528048931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G33650 |
Business Practice Address: | 300 Canal St King City, CA - 939303431 |
Business Phone Number: | 8313856000 |
Business Fax Number: | 8313850414 |
Mailing Address: | 3916 State St Ste 300, SANTA BARBARA |
State: | CA |
Postal Code: | 931053137 |
Phone Number: | 8313854603 |
Fax Number: | 8313850414 |
NPI Enumeration Date: | 01/20/2006 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G33650 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |