WILLIAM RUSSELL DETTEN

SPRINGFIELD, MO
NPI1033229935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  R4P90)
Enumeration Date2006-08-30
Last Update Date2012-11-12
Business Address
Dr. WILLIAM RUSSELL DETTEN D.O.
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804-6530
Phone number: 417-269-1362
Mailing Address
Dr. WILLIAM RUSSELL DETTEN D.O.
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-1362
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