Organization
CROSSROADS UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY LOUISE ST.JOHN (OFFICE MANAGER)
(662) 621-1880
Entity
Organization
Contact information
Practice address
785 OHIO AVE, SUITE 1B, CLARKSDALE, MS 38614-6217
(662) 621-1880
(662) 621-1882
Mailing address
785 OHIO AVE, SUITE 1B, CLARKSDALE, MS 38614-6217
(662) 621-1880
(662) 621-1882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20046
MS
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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