Organization · Type 2 NPI
Tupelo Urology Center
Ambulatory Surgical Clinic/Center · Tupelo, MS
NPI number
1205684776
Active
Practice location
2089 Southridge Dr Ste B
Tupelo, MS 38801-6478
Mailing address
PO Box 1013
Oxford, MS 38655-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1205684776
Tupelo Urology Center's National Provider Identifier is 1205684776, issued on May 9, 2024. 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 May 9, 2024.