Desoto Osteopathic - Primary Care in Southaven, MS

Desoto Osteopathic is a primary clinic (Internal Medicine) in Southaven, Mississippi. The current practice location for Desoto Osteopathic is 187 Stateline Rd E, Suite #10, Southaven, Mississippi. For appointments, you can reach them via phone at (662) 342-5353. The mailing address for Desoto Osteopathic is 187 Stateline Rd E, Suite #10, Southaven, Mississippi and phone number is (662) 342-5353.

Desoto Osteopathic is licensed to practice in Mississippi (license number 15380) and its NPI number is 1558382200. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (662) 342-5353.

Contact Information

Desoto Osteopathic
187 Stateline Rd E
Suite #10
Southaven
MS 38671-1704
(662) 342-5353
(662) 393-9753

Primary Care Clinic Profile

Full NameDesoto Osteopathic
SpecialityInternal Medicine
Location187 Stateline Rd E, Southaven, Mississippi
Authorized Official Name and PositionDebbie Clark (BILLER)
Authorized Official Contact6624295221
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Desoto Osteopathic
187 Stateline Rd E
Suite #10
Southaven
MS 38671-1704

Ph: (662) 342-5353
Desoto Osteopathic
187 Stateline Rd E
Suite #10
Southaven
MS 38671-1704

Ph: (662) 342-5353

NPI Details:

NPI Number1558382200
Provider Enumeration Date07/21/2006
Last Update Date10/22/2007

Medical Identifiers

Medical identifiers for Desoto Osteopathic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558382200NPI-NPPES
4031960OtherTNBLUE CROSS OF TENNESSEE
0118418MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 15380 (Mississippi)Primary

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