Provider Demographics
NPI:1306103924
Name:DORSCHNER, ROBERT ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:DORSCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCSD DIVISION OF DERMATOLOGY
Mailing Address - Street 2:9500 GILMAN DRIVE MC 0869
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0869
Mailing Address - Country:US
Mailing Address - Phone:858-822-3958
Mailing Address - Fax:858-822-6985
Practice Address - Street 1:UCSD DIVISION OF DERMATOLOGY
Practice Address - Street 2:8899 UNIVERSITY CENTER LANE, STE 350
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0001
Practice Address - Country:US
Practice Address - Phone:858-822-3958
Practice Address - Fax:858-822-6985
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA128567207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program