Upa Pllc Div Of Urology in Jackson - Pediatric Urology
Upa Pllc Div Of Urology - NPI 1033267307
Upa Pllc Div Of Urology is a Pediatric Urology in Jackson, Mississippi. Upa Pllc Div Of Urology practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Upa Pllc Div Of Urology is 1033267307. The last update date is 2020-08-22.
Upa Pllc Div Of Urology's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018158991. The mailing address for Upa Pllc Div Of Urology is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upa Pllc Div Of Urology |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018158991 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Evans B Owen |
| Credentials | M.D. |
| Telephone Number | 6019845214 |
NPI Number Detail
| NPI Number | 1033267307 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018158991 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
|
Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9015170 | MS | -- |
Post Comment/ Review Below
What is the Upa Pllc Div Of Urology's unique identification number?
The Upa Pllc Div Of Urology has been assigned the NPI (National Provider Identifier) Number 1033267307 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Upa Pllc Div Of Urology's physical address?
The Upa Pllc Div Of Urology is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 392164500.
What is Upa Pllc Div Of Urology's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Upa Pllc Div Of Urology is Pediatric Urology, and the corresponding taxonomy classification code for this specialized field is 2088P0231X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033267307 to Upa Pllc Div Of Urology?
The Centers for Medicare & Medicaid Services originally issued the 1033267307 to Upa Pllc Div Of Urology on 2007-01-05.
As of what date was the information pertaining to Upa Pllc Div Of Urology, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Upa Pllc Div Of Urology, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.