CORIE DETWILER

TULSA, OK
NPI1891032017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  APA2180)
Enumeration Date2013-01-08
Last Update Date2015-12-07
Business Address
Ms. CORIE DETWILER PA
9716 RIVERSIDE PKWY
TULSA, OK 74137-7447
Phone number: 918-528-4897
Mailing Address
Ms. CORIE DETWILER PA
9716 RIVERSIDE PKWY
TULSA, OK 74137-7447
Phone number: 918-299-4333
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