Individual
OJUS MALPHURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5903 RIDGEWOOD RD STE 102, JACKSON, MS 39211-3700
(601) 981-5887
Mailing address
1991 LAKELAND DR STE C, JACKSON, MS 39216-5000
(601) 981-5887
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00075005
—
MS
Enumeration date
10/27/2006
Last updated
07/08/2007
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