Individual
DEMETRIO JOSE PROTA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801
(662) 377-7590
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-7590
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24914
MS
Other
Enumeration date
07/04/2013
Last updated
09/28/2018
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