IndividualActive
David Detwiler, DPM
NPI 1104997600 · Primary Podiatric Medicine Podiatrist · Forest, VA
Provider details
- NPI number
- 1104997600
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0103000648 (VA)
Mailing address
1232 Ty Bluff Road
Forest, VA 24551-1851
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.