Individual
JUAN P VILLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF ANESTHESIOLOGY, JACKSON, MS 39216-4500
(601) 984-5900
(601) 984-5939
Mailing address
2500 N STATE ST, DEPARTMENT OF ANESTHESIOLOGY, JACKSON, MS 39216-4500
(601) 984-5900
(601) 984-5939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21776
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07104501
—
MS
05
—
134963
—
AL
05
—
156986
—
AL
01
—
P01248464
RAILROAD MEDICARE
MS
Enumeration date
06/04/2007
Last updated
03/17/2014
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