Upa Pllc Neurology

NPI 1609929470 - Psychiatry & Neurology - 2084N0402X

NPI Details
NPI 1609929470
Enumeration Date 01/18/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OWEN B OWEN
Position MANAGER
Phone (601) 984-5275
Fax
Practice Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-5275
Fax
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-5275
Fax
Toxanomy
Taxonomy Code 2084N0402X
License State
License Number
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According to our database, Upa Pllc Neurology NPI is 1609929470, taxonomy code is 2084N0402X Upa Pllc Neurology physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number 1033115704 has the healthcare provider type.

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1609929470 NPI number is provided on an as is basis without warranty of any kind. 1609929470 is maintained by the National Plan & Provider Enumeration System. The contents of Upa Pllc Neurology are for informational purposes only.