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Organization
OXFORD UROLOGY ASSOCIATES, PLLC
Active
Organization
OXFORD UROLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA N GARDNER (OFFICE MANAGER)
(662) 234-1448
Entity
Organization
Contact information
Practice address
2168 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 234-1448
(662) 234-1103
Mailing address
PO BOX 1013, OXFORD, MS 38655-1013
(662) 234-1448
(662) 234-1103
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13909
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07675004
—
MS
Enumeration date
01/02/2007
Last updated
12/12/2018
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