Individual
DR. JILLIAN LEIGH DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1200 N STONEWALL AVE, THE UNIVERISTY OF TULSA- MARY K CHAPMAN CENTER, OKLAHOMA CITY, OK 73117-1215
(405) 271-2866
Mailing address
1200 N STONEWALL AVE, THE UNIVERISTY OF TULSA- MARY K CHAPMAN CENTER, OKLAHOMA CITY, OK 73117-1215
(405) 271-2866
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4137
OK
Other
Enumeration date
08/28/2013
Last updated
01/26/2015
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