| NPI | 1972709152 |
|---|---|
| Former Legal Business Name | DEJO VIPRAKASIT, MD |
| Entity Type | Organization |
| Authorized Contact | TERESA M. BLANKENSHIP Office Manager 901-476-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-08-14 |