Individual
DIANA EMILY DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5215 CENTRE AVE, PITTSBURGH, PA 15232-1303
(412) 623-2287
Mailing address
5215 CENTRE AVE, PITTSBURGH, PA 15232-1303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT203860
PA
Other
Enumeration date
06/18/2013
Last updated
12/16/2021
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