Individual
BOE WAYNE SURBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
Mailing address
HU 11735, SEARCY, AR 72149-0001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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