Individual
DEMETRI EUGENE PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
248 SUSQUEHANNA AVE, RENOVO, PA 17764-1523
(570) 786-7751
Mailing address
248 SUSQUEHANNA AVE, RENOVO, PA 17764-1523
(570) 786-7751
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007867
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
09/08/2020
Last updated
04/28/2025
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