Upa Pllc Ambulatory

NPI 1528185121 - Pediatrics - 208000000X

NPI Details
NPI 1528185121
Enumeration Date 03/26/2007
Last Updated 06/19/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OWEN B OWEN
Position MANAGING EMPLOYEE
Phone (601) 984-2195
Fax
Practice Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-2195
Fax
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-2195
Fax
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1528185121 NPI Number
 

According to our database, Upa Pllc Ambulatory NPI is 1528185121, taxonomy code is 208000000X Upa Pllc Ambulatory physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number 1033115704 has the healthcare provider type.

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1528185121 NPI number is provided on an as is basis without warranty of any kind. 1528185121 is maintained by the National Plan & Provider Enumeration System. The contents of Upa Pllc Ambulatory are for informational purposes only.