Tulane Dermatology Affiliates

NPI 1245424316 - Dermatology - 207N00000X

NPI Details
NPI 1245424316
Enumeration Date 08/31/2007
Last Updated 08/31/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY LARRY
Position PROFESSOR /PRESIDENT
Phone (601) 484-9490
Fax (601) 486-2457
Practice Location
2321 13TH ST
MERIDIAN MS, 39301-3940, US
Phone (601) 484-9490
Fax (601) 486-2457
Business Location
2321 13TH ST
MERIDIAN MS, 39301-3940, US
Phone (601) 484-9490
Fax (601) 486-2457
Toxanomy
Taxonomy Code 207N00000X
License State Mississippi
License Number 10582
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According to our database, Tulane Dermatology Affiliates NPI is 1245424316, taxonomy code is 207N00000X and license number is 10582, license state is located at Mississippi. Tulane Dermatology Affiliates physically located at 2321 13th St, Meridian MS, 39301-3940. NPI Number 1033115704 has the healthcare provider type.

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1245424316 NPI number is provided on an as is basis without warranty of any kind. 1245424316 is maintained by the National Plan & Provider Enumeration System. The contents of Tulane Dermatology Affiliates are for informational purposes only.