Most Relevant Information
Provider Data
| NPI Number: | 1003278466 |
| Provider Name: | ROGER DEXTER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2016 |
| Last Updated: | 03/24/2016 |
Provider Practice Location
2707 BROWNS LN
JONESBORO
AR
724017213
Practice Location Phone/Fax
| Phone: | 8709724961 |
| Fax: |
Provider Mailing Location
2707 BROWNS LN
JONESBORO
AR
724017213
Provider Mailing Phone/Fax
| Phone: | 8709724961 |
| Fax: |