Organization
DAVID E DETWILER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DETWILER (PHYSICIAN)
(434) 525-3045
Entity
Organization
Contact information
Practice address
101 PERSIMMON WAY, FOREST, VA 24551-1851
(434) 525-3045
Mailing address
101 PERSIMMON WAY, FOREST, VA 24551-1851
(434) 525-3045
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000648
VA
Other
Enumeration date
03/28/2007
Last updated
08/16/2007
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