Robert Cunningham Streeter IV, MD
Family Medicine in Camarillo, CA. Individual provider (NPI-1).
NPI number1154432151
StatusActive
Last updated in NPPESAug 18, 2022
Details
- NPI
- 1154432151
- Entity type
- Individual (NPI-1)
- Name
- Robert Cunningham Streeter IV
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Aug 18, 2022
- Last updated
- Aug 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G68874 | CA | Yes |
Practice location
1040 Flynn RdCamarillo, CA 93012-5092
Phone 805-673-3930 · Fax 805-659-3217
Mailing address
1040 Flynn RdCamarillo, CA 93012-5092
Phone 805-673-3930 · Fax 805-659-3217
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