Individual
BYRON NICE DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5401 N PORTLAND AVE STE 600, OKLAHOMA CITY, OK 73112-2090
(405) 713-9940
(405) 713-9941
Mailing address
5401 N PORTLAND AVE STE 600, OKLAHOMA CITY, OK 73112-2090
(405) 713-9940
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6643
OK
Other
Enumeration date
04/10/2018
Last updated
09/18/2024
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