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

IVANCIC PEDIATRIC CLINIC PA

Active Organization

IVANCIC PEDIATRIC CLINIC PA is a Primary Care Clinic organization located in TUPELO, Mississippi. NPI 1942606256 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · TUPELO, MS

Registration Details

NPI Number
1942606256
Provider Type
Organization
NPI Issued
Nov 13, 2014 (11.760080309487 yrs)
Last Updated
Jan 23, 2019

Practice Information

Address
499 GLOSTER CREEK VLG
SUITE H-3
TUPELO, MS, 388014600
Browse MS providers · Browse ZIP 38801
Phone
6628406026
Fax
6628406030
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in TUPELO, 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.