Individual
DR. MARK BUDD DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1970 ROANOKE BLVD, VETERANS AFFAIRS MEDICAL CENTER, MHSL (116A7), SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1080
Mailing address
1970 ROANOKE BLVD, VETERANS AFFAIRS MEDICAL CENTER, MHSL (116A7), SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1080
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101234579
VA
Other
Enumeration date
04/27/2006
Last updated
06/07/2011
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