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Richard D Deshazo, MD
Allergy & Immunology (Internal Medicine) Physician in Jackson, Mississippi
NPI 1225072838

Richard D Deshazo is an Allergy & Immunology (Internal Medicine) Physician based in Jackson, MS and is specialized in Allergy & Immunology. Richard D Deshazo practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Richard D Deshazo is 1225072838 and holds a License No. 15660 (Mississippi).

The current practice location address for Richard D Deshazo is 878 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-815-1078 and via fax at 601-984-6994.

Location: 878 Lakeland Dr, Jackson, MS, 39216-4500
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Provider Profile Details
NPI Number
1225072838
Provider Name
Richard D Deshazo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
878 Lakeland Dr, Jackson, MS, 39216-4500
Phone Number
601-815-1078
Fax Number
601-984-6994
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0019701 05 MS
institution
Provider Business Practice Location Address Details
Address
878 Lakeland Dr
City
State
Zip
39216-4500
Phone Number
601-815-1078
Fax Number
601-984-6994
person
Provider Business Mailing Address Details
Address
878 Lakeland Dr
City
State
Zip
39216-4500
Phone Number
601-815-1078
Fax Number
601-984-6994
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
License No.
15660 (Mississippi)
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
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