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Individual

EDUARDO FERNANDO SOTO INTERIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
41 MONARCH BLVD, HATTIESBURG, MS 39402-7200
(612) 707-2008
Mailing address
41 MONARCH BLVD, HATTIESBURG, MS 39402-7200
(612) 707-2008

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
24822
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03827532
MS
Enumeration date
07/03/2012
Last updated
06/23/2025
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