Individual
RICHARD DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1095 MARSHALL WAY, SUITE 202, PLACERVILLE, CA 95667-5722
(530) 626-3682
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-3682
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G31263
CA
Other
Enumeration date
06/12/2006
Last updated
10/12/2015
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