John Fitzgerald Detro, PA-C
NPI #1548343841 in Fort Benning, Georgia
Provider Information
- NPI Number
- 1548343841
- Entity Type
- Individual
- Name
- John Fitzgerald Detro, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7950 MARTIN LOOP
- Address 2
- MARTIN ARMY COMMUNITY HOSPITAL
- City
- Fort Benning
- State
- Georgia
- ZIP Code
- 31905-5647
- Phone
- (706) 545-3958
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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