Organization · Type 2 NPI
The Medical Clinic of Desoto Inc
Primary Care Clinic/Center · Olive Branch, MS
NPI number
1093835209
Active
Practice location
6953 Oak Forest Dr
Olive Branch, MS 38654-1920
Fax (662) 893-0460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1093835209
The Medical Clinic of Desoto Inc's National Provider Identifier is 1093835209, issued on Mar 30, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Olive Branch, MS. The record was last updated on Oct 22, 2021.