Most Relevant Information
Provider Data
| NPI Number: | 1003274358 |
| Provider Name: | DEMETRI BOX MHPP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/02/2016 |
| Last Updated: | 02/02/2016 |
Provider Practice Location
403 S POPLAR ST STE A
SEARCY
AR
721436000
Practice Location Phone/Fax
| Phone: | 5012499220 |
| Fax: | 5012799450 |
Provider Mailing Location
403 S POPLAR ST STE A
SEARCY
AR
721436000
Provider Mailing Phone/Fax
| Phone: | 5012499220 |
| Fax: | 5012799450 |