Organization
DESOTO URGENT CARE CLINIC, LLC
Active
Other names
Desoto Physicians, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ULRIC D. DUNCAN MD (PRESIDENT)
(662) 280-8222
Entity
Organization
Contact information
Practice address
9215 MILLBRANCH RD, SOUTHAVEN, MS 38671-1423
(662) 280-8222
(662) 280-5541
Mailing address
9215 MILLBRANCH RD, SOUTHAVEN, MS 38671-1423
(662) 280-8222
(662) 280-5541
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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