| NPI | 1891179768 |
|---|---|
| Doing Business As | DESOTO CHILDREN'S CLINIC - OLIVE BRANCH |
| Entity Type | Organization |
| Authorized Contact | REUBEN SIDHU Administrator 662-349-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2026-04-06 |