Organization
MUSTERION MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GLENN MOORE (OWNER)
(662) 816-6866
Entity
Organization
Contact information
Practice address
32 S MAIN ST, WATER VALLEY, MS 38965-2946
(662) 816-6866
Mailing address
1739 UNIVERSITY AVE # 161, OXFORD, MS 38655-4109
(662) 816-6866
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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