Individual
SIRA MARY DUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7272
(901) 545-8292
Mailing address
22 S GREENE ST # S10B00, BALTIMORE, MD 21201-1544
(410) 328-5840
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
70074
TN
2086S0129X
Vascular Surgery Physician
Primary
D81874
MD
2086S0129X
Vascular Surgery Physician
MD042335
DC
Other
Enumeration date
05/06/2009
Last updated
11/23/2024
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