Mid-South Retina Associates, LLC

NPI #1255376919 in Murray, Kentucky

Provider Information

NPI Number
1255376919
Entity Type
Organization
Organization Name
Mid-South Retina Associates, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MID-SOUTH RETINA ASSOCIATES, LLC
Primary Specialty
Ophthalmology
Enumeration Date
Jun 18, 2006
Last Updated
Oct 19, 2007

Practice Location

Address
300 S 8TH ST
Address 2
SUITE 284W
City
Murray
ZIP Code
42071-2400
Phone
(800) 221-7892

Authorized Official

Name
DR. RICHARD SIEVERS, M.D.
Title
PARTNER
Phone
(800) 221-7892

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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