Provider Demographics
NPI:1588808901
Name:DROZD, REMIGIUSZ ROBERT (DO)
Entity type:Individual
Prefix:DR
First Name:REMIGIUSZ
Middle Name:ROBERT
Last Name:DROZD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 SANTA BARBARA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3542
Mailing Address - Country:US
Mailing Address - Phone:207-650-9884
Mailing Address - Fax:
Practice Address - Street 1:331 N MILPAS ST STE 1B
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3294
Practice Address - Country:US
Practice Address - Phone:805-694-1311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A18747207P00000X
RIDO00671207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine