Individual
LOUIS ROSA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4381 S EASON BLVD, TUPELO, MS 38801-6583
(662) 377-5700
(662) 377-5720
Mailing address
4381 S EASON BLVD, TUPELO, MS 38801-6583
(662) 377-5700
(662) 377-5720
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
16496
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08878817
—
MS
Enumeration date
04/14/2006
Last updated
02/18/2011
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