CARL RAY DETTWILER

LEWISTON, ID
NPI1285623819
Other NameCARL RAY DETTWILER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  M5110)
Enumeration Date2005-10-17
Last Update Date2013-02-13
Business Address
-- CARL RAY DETTWILER MD
2517 17TH SREET SUITE B
LEWISTON, ID 83501-0001
Phone number: 208-743-4373
Mailing Address
-- CARL RAY DETTWILER MD
2517 17TH ST SUITE B
LEWISTON, ID 83501-6311
Phone number: 208-743-4373
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