Individual
DORCAS PONI ESHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
Mailing address
11 BUTTERNUT LN, NEWINGTON, CT 06111-4235
(347) 471-4026
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22132
MS
Other
Enumeration date
10/19/2012
Last updated
10/23/2012
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