Dejo Viprakasit, MD PC

NPI #1972709152 in Covington, Tennessee

Provider Information

NPI Number: 1972709152
Entity Type: Organization
Organization Name: Dejo Viprakasit, MD PC
Primary Specialty: Urology
Enumeration Date: Jun 25, 2007
Last Updated: Aug 14, 2007

Practice Location

Address: 1995 HIGHWAY 51 SOUTH
Address 2: SUITE 104
City: Covington
State: Tennessee
ZIP Code: 38019-3635
Phone: (901) 476-1135

Authorized Official

Name: MR. TERESA M. BLANKENSHIP
Title: OFFICE MANAGER
Phone: (901) 476-1135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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