Benjamin Butler CMP

NPI 1023286952 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1023286952
Gender Male
Enumeration Date 02/13/2008
Last Updated 02/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1000 S HOUSTON AVE
RUSSELLVILLE AR, 72801-5816, US
Phone (479) 968-1298
Fax
Business Location
PO BOX 1589
BENTON AR, 72018-1589, US
Phone (501) 315-3344
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Benjamin Butler CMP NPI is 1023286952, taxonomy code is 171M00000X Benjamin Butler CMP physically located at 1000 S Houston Ave, Russellville AR, 72801-5816. NPI Number Benjamin Butler CMP has the Individual type.

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1023286952 NPI number is provided on an as is basis without warranty of any kind. 1023286952 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Butler CMP are for informational purposes only.