DESOTO OSTEOPATHIC

SOUTHAVEN, MS
NPI1558382200
Entity TypeOrganization
Authorized ContactDEBBIE CLARK
Biller
662-429-5221
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  15380)
Enumeration Date2006-07-21
Last Update Date2007-10-22
Business Address
DESOTO OSTEOPATHIC
187 STATELINE RD E SUITE #10
SOUTHAVEN, MS 38671-1704
Phone number: 662-342-5353
Mailing Address
DESOTO OSTEOPATHIC
187 STATELINE RD E SUITE #10
SOUTHAVEN, MS 38671-1704
Phone number: 662-342-5353
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