Individual
MARIANO L ORCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1860 CHADWICK DR STE 351, JACKSON, MS 39204-3472
(601) 376-1288
(601) 376-1293
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01028016A
IN
208800000X
Urology Physician
01028016A
IN
208800000X
Urology Physician
Primary
27198
MS
Other
Enumeration date
11/20/2006
Last updated
10/12/2023
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