Organization · Type 2 NPI

Ivancic Pediatric Clinic PA

Primary Care Clinic/Center · Tupelo, MS

NPI number 1942606256 Active

Practice location

499 Gloster Creek Vlg, Suite H-3
Tupelo, MS 38801-4600

Fax (662) 840-6030

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

34 other providers at this address

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About NPI 1942606256

Ivancic Pediatric Clinic PA's National Provider Identifier is 1942606256, issued on Nov 13, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tupelo, MS. The record was last updated on Jan 23, 2019.