Upa Pllc Newborn Med

NPI 1518010388 - Pediatrics - 2080N0001X

NPI Details
NPI 1518010388
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) 984-5269
Fax
Practice Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-5269
Fax
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-5269
Fax
Toxanomy
Taxonomy Code 2080N0001X
License State
License Number
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According to our database, Upa Pllc Newborn Med NPI is 1518010388, taxonomy code is 2080N0001X Upa Pllc Newborn Med physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number 1033115704 has the healthcare provider type.

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1518010388 NPI number is provided on an as is basis without warranty of any kind. 1518010388 is maintained by the National Plan & Provider Enumeration System. The contents of Upa Pllc Newborn Med are for informational purposes only.