Dwight M Deter PA-C

NPI 1073523841 - Internal Medicine - 207RE0101X

NPI Details
NPI 1073523841
Gender Male
Enumeration Date 08/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1201 E SCHUSTER AVE
BLDG 7
EL PASO TX, 79902-4672, US
Phone (915) 533-5486
Fax (915) 533-9602
Business Location
1201 E SCHUSTER AVE
BLDG 7
EL PASO TX, 79902-4672, US
Phone (915) 533-5486
Fax (915) 533-9602
Toxanomy
Taxonomy Code 207RE0101X
License State Texas
License Number PA00001
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According to our database, Dwight M Deter PA-C NPI is 1073523841, taxonomy code is 207RE0101X and license number is PA00001, license state is located at Texas. Dwight M Deter PA-C physically located at 1201 E Schuster Ave, El Paso TX, 79902-4672. NPI Number Dwight M Deter PA-C has the Individual type.

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1073523841 NPI number is provided on an as is basis without warranty of any kind. 1073523841 is maintained by the National Plan & Provider Enumeration System. The contents of Dwight M Deter PA-C are for informational purposes only.