Individual
WESLEY ESTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TPA0029
MS
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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