JOHN DAVID DEETJEN

FORT WORTH, TX
NPI1508556028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-05-09
Last Update Date2023-05-09
Business Address
JOHN DAVID DEETJEN PA-C
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104-4215
Phone number: 817-335-5288
Mailing Address
JOHN DAVID DEETJEN PA-C
6100 HARRIS PKWY STE 285
FORT WORTH, TX 76132-4127
Phone number: 817-263-5864
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