DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DESOTO OSTEOPATHIC

Active Organization

Internal Medicine · SOUTHAVEN, MS

Registration Details

NPI Number
1558382200
Provider Type
Organization
NPI Issued
Jul 21, 2006 (19.762399162957 yrs)
Last Updated
Oct 22, 2007
License
15380 (MS)

Practice Information

Address
187 STATELINE RD E
SUITE #10
SOUTHAVEN, MS, 386711704
Browse MS providers · Browse ZIP 38671
Phone
6623425353
Fax
6623939753
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in SOUTHAVEN, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.