Individual
DR. ALEX NORMAN DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 W 6TH AVE STE 207, STILLWATER, OK 74074-4381
(405) 707-0900
(405) 707-3363
Mailing address
1301 W 6TH AVE STE 207, STILLWATER, OK 74074-4381
(405) 707-0900
(405) 707-3363
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
5730
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5730
ORTHOPEDIC SURGERY
OK
Enumeration date
04/24/2014
Last updated
07/30/2020
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