Tupelo Anesthesia Group PA

NPI #1558390443 in Tupelo, Mississippi

Provider Information

NPI Number: 1558390443
Entity Type: Organization
Organization Name: Tupelo Anesthesia Group PA
Primary Specialty: Anesthesiology
Enumeration Date: Jul 2, 2006
Last Updated: Nov 11, 2010

Practice Location

Address: 830 SOUTH GLOSTER
City: Tupelo
State: Mississippi
ZIP Code: 38801
Phone: (662) 377-4394

Authorized Official

Name: JOHN H DOUGLAS III, MD
Title: SECRETARY
Phone: (662) 377-4394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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