Individual
ROBERT E DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 22ND AVE, MEDICAL TOWERS 3, 3RD FL, MERIDIAN, MS 39301-3223
(601) 693-1055
(601) 482-5312
Mailing address
PO BOX 2839, MERIDIAN, MS 39302-2839
(601) 703-3480
(601) 703-0124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
07241
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07241
MS LICENSE
MS
05
—
15013
—
MS
Enumeration date
02/26/2007
Last updated
06/13/2016
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