Organization
LAUREL OBSTETRICS AND GYNECOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALAN DESANTIS M.D. (PRESIDENT/OWNER/PHYSICIAN)
(601) 649-9904
Entity
Organization
Contact information
Practice address
1104 W 1ST ST, SUITE 2, LAUREL, MS 39440-4357
(601) 649-9904
(601) 649-9944
Mailing address
PO BOX 2998, LAUREL, MS 39442-2998
(601) 649-9904
(601) 649-9944
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13169
MS
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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