Desoto Children's Clinic - Olive Branch

NPI #1891179768 in Olive Branch, Mississippi

Provider Information

NPI Number: 1891179768
Entity Type: Organization
Organization Name: Desoto Children's Clinic - Olive Branch
Primary Specialty: Pediatrics
Enumeration Date: Jul 10, 2015
Last Updated: May 2, 2023

Practice Location

Address: 7145 GOODMAN ROAD
City: Olive Branch
State: Mississippi
ZIP Code: 38654
Phone: (662) 333-5001

Authorized Official

Name: MR. DESH DEEPAK SIDHU, MD
Title: MD
Phone: (662) 562-4418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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