Organization
ANDERSON PHYSICIAN ALLIANCE, INC
Active
Other names
Urology Clinic of Meridian
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY RISPOLI (CFO)
(601) 553-6118
Entity
Organization
Contact information
Practice address
1302 20TH AVE, MERIDIAN, MS 39301-4120
(601) 693-1055
(601) 482-5312
Mailing address
1302 20TH AVE, MERIDIAN, MS 39301-4120
(601) 693-1055
(601) 482-5312
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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