Carl Ray Dettwiler MD

  • NPI 1285623819
According to our database, the NPI number for Carl Ray Dettwiler MD is 1285623819 and activated since 18 years ago. Carl Ray Dettwiler MD is an individual provider who specializes in Specialist, and the primary practice location is 2517 17th Sreet, Lewiston, ID 83501. You can also contact Carl Ray Dettwiler MD via telephone number is (208) 743-4373. Provider NPI information was last updated on 02/13/2013.

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Overview of Carl Ray Dettwiler MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/17/2005
  • Last updated: 02/13/2013

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: M5110
  • License State: ID

Provider Mailing Address

  • Address: 2517 17th St
    Suite B
    Lewiston, ID 83501
  • Phone: 208-743-4373
  • Fax: 208-743-3369

Provider Practice Location

  • Address: 2517 17th Sreet
    Suite B
    Lewiston, ID 83501
  • Phone: 208-743-4373
  • Fax: 208-743-3369

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: M5110
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 806979100
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Carl Ray Dettwiler MD?
  • A: The npi number for Carl Ray Dettwiler MD is 1285623819.
  • Q: What are Carl Ray Dettwiler MD's specialties?
  • A: Carl Ray Dettwiler MD's specialties are Specialist and different specialities.
  • Q: What is the medical license for Carl Ray Dettwiler MD?
  • A: The medical license number for Carl Ray Dettwiler MD is M5110 and issued in ID in USA.
  • Q: Where is Carl Ray Dettwiler MD practice location?
  • A: Carl Ray Dettwiler MD is practicing at 2517 17th Sreet, Lewiston, ID 83501.
  • Q: How to contact Carl Ray Dettwiler MD?
  • A: You can contact Carl Ray Dettwiler MD via 208-743-4373.