Individual
CATHERINE PETZINGER DESHAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5480 GOODMAN RD, OLIVE BRANCH, MS 38654-7902
(662) 893-9815
(662) 893-9888
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
(901) 478-0966
(901) 478-0951
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26737
MS
208600000X
Surgery Physician
5101020893
MI
Other
Enumeration date
04/21/2014
Last updated
11/30/2023
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