Individual
DR. TREST ALAN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(601) 486-3849
Mailing address
259 MOBILE ST, SALTILLO, MS 38866-8704
(601) 486-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-4377
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
05/20/2021
Last updated
10/18/2021
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