Individual
WILLIAM HENRY DETAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
O-1494
ID
208D00000X
General Practice Physician
O-1494
ID
Other
Enumeration date
05/15/2019
Last updated
07/14/2026
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