Organization
UPA PLLC AMBULATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN B EVANS M.D. (MANAGING EMPLOYEE)
(601) 984-5214
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2195
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014116
—
MS
Enumeration date
03/26/2007
Last updated
06/19/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us