Healthcare Provider Details

I. General information

NPI: 1477354082
Provider Name (Legal Business Name): ASHER JOSEPH DEMARSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USNHO OKINAWA, JAPAN PSC 482
FPO AP
96362
US

IV. Provider business mailing address

PSC 482 BOX 3056
FPO AP
96362-0031
US

V. Phone/Fax

Practice location:
  • Phone: 208-515-0054
  • Fax:
Mailing address:
  • Phone: 208-515-0054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: