| NPI | 1346558566 |
|---|---|
| Former Legal Business Name | DESOTO PHYSICIANS, LLC |
| Entity Type | Organization |
| Authorized Contact | ULRIC D. DUNCAN President 662-280-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |