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Organization
UNIVERSITY INTERNAL MEDICINE ASSOC LLP
Active
Organization
UNIVERSITY INTERNAL MEDICINE ASSOC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DESHAZO MD (MANAGING PARTNER)
(601) 987-3988
Entity
Organization
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5600
Mailing address
1867 CRANE RIDGE DR, STE 150-A UNIVERSITY INTERNAL MEDICINE ASSOCIATES, LLP, JACKSON, MS 39216-4982
(601) 987-3988
(601) 987-4165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MS
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/13/2006
Last updated
07/21/2022
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