Organization
1ST STEP MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LYNN OSTRANDER (OFFICE MANGER)
(662) 322-0996
Entity
Organization
Contact information
Practice address
3104 ADAMS FARM RD, BELDEN, MS 38826-7020
(662) 322-0996
(662) 205-4203
Mailing address
PO BOX 427, BELDEN, MS 38826-0427
(662) 322-0996
(662) 205-4203
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
28794
MS
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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