Individual provider · Type 1 NPI

John Alan Detre, MD

Neurology Physician · Philadelphia, PA

NPI number 1629002399 Active

Practice location

3400 Civic Center Blvd, 2nd Floor, South Pavilion
Philadelphia, PA 19104-5127

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XMD039705E (PA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1629002399

John Alan Detre, MD's National Provider Identifier is 1629002399, issued on Jul 10, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 10, 2015.