Desoto Eye Surgery Center LLC
NPI #1073754602 in Southaven, Mississippi
Provider Information
- NPI Number
- 1073754602
- Entity Type
- Organization
- Organization Name
- Desoto Eye Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 11, 2009
- Last Updated
- Apr 5, 2012
Practice Location
- Address
- 726 GOODMAN RD E
- Address 2
- SUITE B
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-9530
- Phone
- (662) 349-1959
Authorized Official
- Name
- DR. ALAN R. SCHAEFFER, M.D.
- Title
- MANAGING MEMBER
- Phone
- (662) 349-1959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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