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Robert Joseph Derveloy III, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tupelo, Mississippi
NPI 1689674707

Robert Joseph Derveloy III is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Tupelo, MS. Robert Joseph Derveloy III practices in Tupelo, MS and has the professional credentials of MD. The NPI Number for Robert Joseph Derveloy III is 1689674707 and holds a License No. 12390 (Mississippi).

The current practice location address for Robert Joseph Derveloy III is 830 S Gloster St, Tupelo, MS and can be reached out via phone at 662-377-7170 and via fax at 662-377-2423.

Location: 830 S Gloster St, Tupelo, MS, 38802-7062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689674707
Provider Name
Robert Joseph Derveloy III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
830 S Gloster St, Tupelo, MS, 38802-7062
Phone Number
662-377-7170
Fax Number
662-377-2423
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
730-10331 01 AL BCBS
00118384 05 MS
institution
Provider Business Practice Location Address Details
Address
830 S Gloster St
City
Tupelo
State
Mississippi
Zip
38801-4934
Phone Number
662-377-7170
Fax Number
662-377-2423
person
Provider Business Mailing Address Details
Address
830 S Gloster St
City
Tupelo
State
Mississippi
Zip
38801-4934
Phone Number
662-377-7170
Fax Number
662-377-2423
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
12390 (Mississippi)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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