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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY LYNN DETWILER, PAC

Active

TRACY LYNN DETWILER, PAC is a Physician Assistant healthcare provider located in BELLEFONTAINE, Ohio. NPI 1154490738 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BELLEFONTAINE, OH

Registration Details

NPI Number
1154490738
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2006 (19.725115415521 yrs)
Last Updated
Dec 5, 2023
License
50-002477 (OH)

Practice Information

Address
212 E COLUMBUS AVE STE 1
BELLEFONTAINE, OH, 433112033
Browse OH providers · Browse ZIP 43311
Phone
9375991411
Fax
9375994128
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BELLEFONTAINE, OH

Name Credential NPI
STEPHANIE A YOUNG PAC 1699860510
ANGIE MARLENE CASTLE PA-C 1023377298
JOSEPH M FAWCETT PA, MHSA, ATC 1124405717
SABRINA MARIE WELLS PA-C 1073982385
CHELSEA MANGIA FREELS PA-C 1881125706
SOPHIA DO VANG PA-C 1063934719
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.