Upa Pllc Rheumatology
NPI #1225181092 in Jackson, Mississippi
Provider Information
- NPI Number
- 1225181092
- Entity Type
- Organization
- Organization Name
- Upa Pllc Rheumatology
- Primary Specialty
- Pediatrics - Pediatric Rheumatology
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2500 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (601) 815-8986
Authorized Official
- Name
- DR. OWEN B EVANS, M.D.
- Title
- MANAGER
- Phone
- (601) 984-5214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Rheumatology — Pediatric Rheumatology |
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