David E Detwiler PC

NPI #1174642771 in Forest, Virginia

Provider Information

NPI Number: 1174642771
Entity Type: Organization
Organization Name: David E Detwiler PC
Primary Specialty: Podiatrist
Enumeration Date: Mar 28, 2007
Last Updated: Aug 16, 2007

Practice Location

Address: 101 PERSIMMON WAY
City: Forest
State: Virginia
ZIP Code: 24551-1851
Phone: (434) 525-3045

Authorized Official

Name: DAVID DETWILER
Title: PHYSICIAN
Phone: (434) 525-3045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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