Organization · Type 2 NPI
Urologic Ambulatory Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Tupelo, MS
NPI number
1154867562
Active
Practice location
499 Gloster Creek Vlg Ste B8
Tupelo, MS 38801-4633
Fax (662) 846-0566
Mailing address
PO Box 829
Tupelo, MS 38802-0829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician | 208800000X | None listed |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1154867562
Urologic Ambulatory Surgery Center, LLC's National Provider Identifier is 1154867562, issued on Jan 9, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Tupelo, MS. The record was last updated on Oct 24, 2023.