Individual provider · Type 1 NPI

Corie Detwiler, PA

Medical Physician Assistant · Tulsa, OK

NPI number 1891032017 Active

Practice location

9716 Riverside Pkwy
Tulsa, OK 74137-7447

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	APA2180 (OK)

Medical Physician Assistant: Definition to come...

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Janna K. Burkus, DOEmergency Medicine Physician Tulsa, OK NPI 1316258882
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Sandra Renee Dietz, APRN-CNPFamily Nurse Practitioner Tulsa, OK NPI 1306369087

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About NPI 1891032017

Corie Detwiler, PA's National Provider Identifier is 1891032017, issued on Jan 8, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tulsa, OK. The record was last updated on Dec 7, 2015.