Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN FITZGERALD DETRO, PA-C
ActiveJOHN FITZGERALD DETRO, PA-C is a Medical Physician Assistant healthcare provider located in FORT BENNING, Georgia. NPI 1548343841 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT BENNING, GA
Registration Details
- NPI Number
- 1548343841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.773617127079 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
7950 MARTIN LOOPMARTIN ARMY COMMUNITY HOSPITALFORT BENNING, GA, 319055647Browse GA providers · Browse ZIP 31905
- Phone
- 7065453958
- Fax
- 7065455762
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT BENNING, GA
| Name | Credential | NPI |
|---|---|---|
| MR. MARK ALAN HARTLEY | MPAS PA-C | 1124027685 |
| MR. JOHN JOE PENA | PA-C | 1700885373 |
| MS. BARBARA LYNN HOBBS | PA-C | 1295716447 |
| MR. JOHN SMITH GEISE | PA | 1437120417 |
| MRS. VALENCIA WILSON LOCKHART | PA-C | 1235215328 |
| JONATHAN BENNETT GALLINGER | — | 1790268290 |
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.