Individual provider · NPI-1

Dr. Floy Evon Detwiler, MD

Family Medicine · East Wenatchee, WA

NPI number1306840020
StatusActive
Last updated in NPPESMay 28, 2013

Details

NPI
1306840020
Entity type
Individual (NPI-1)
Name
Dr. Floy Evon Detwiler
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2005
Last updated
May 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00037715WAYes

Other names

  • Floy Evon Ditmars (Former Name)

Practice location

100 Highline Dr
East Wenatchee, WA 98802-5341

Phone 509-884-0614

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028

Phone 509-663-8711

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