Individual
DARYL SCHROADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
(662) 377-5085
Mailing address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
(662) 377-5085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18388
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07405344
—
MS
Enumeration date
04/20/2006
Last updated
09/12/2008
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