CALLIE DETZ, PA-C
Physician Assistant
Active
Individual
NPI: 1952057929
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 330204 (LA) |
Frequently Asked Questions
NPI 1952057929 is the National Provider Identifier for CALLIE DETZ, PA-C, a Physician Assistant provider located in Leesville, LA. This NPI was enumerated on February 28, 2022.
CALLIE DETZ, PA-C practices at 1106 PORT ARTHUR TER, Leesville, LA 71446.
Quick Facts
- NPI
- 1952057929
- Type
- Individual
- Enumerated
- Feb 28, 2022
- Last Updated
- Mar 2, 2022
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