Individual provider · Type 1 NPI
David Elwood Detwiler, DPM
Primary Podiatric Medicine Podiatrist · Forest, VA
NPI number
1104997600
Active
Practice location
1232 Ty Bluff Road
Forest, VA 24551-1851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 0103000648 (VA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1104997600
David Elwood Detwiler, DPM's National Provider Identifier is 1104997600, issued on Nov 13, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Forest, VA. The record was last updated on Jul 8, 2007.