Individual
DR. STEVE M DEPRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
611 VAN BUREN AVE, OXFORD, MS 38655-3839
(662) 234-6033
Mailing address
P O BOX 1097, OXFORD, MS 38655-3839
(662) 234-6033
(662) 234-6033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
500
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087923
—
MS
Enumeration date
12/02/2006
Last updated
10/28/2008
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