Dr. Dallas Ryan Ederer, MD - Jackson, MS

Dr. Dallas Ryan Ederer, MD

Student in an Organized Health Care Education/Training Program in Jackson, Mississippi

NPI 1720830938

Dallas Ryan Ederer is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. Dallas Ryan Ederer practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Dallas Ryan Ederer is 1720830938 and holds a License No. (Mississippi).

The current practice location address for Dallas Ryan Ederer is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-1000.

Location: 2500 N State St, Jackson, MS, 39206-6117

NPI Number

1720830938

Provider Name

Dallas Ryan Ederer

Credential

Provider Entity Type

Individual

Gender

Male

Address

2500 N State St, Jackson, MS, 39206-6117

Phone Number

601-984-1000

Fax Number

Provider Enumeration Date

04/02/2024

Last Update Date

04/14/2024

Address

2500 N State St

City

Jackson

State

Mississippi

Zip

39216-4500

Phone Number

601-984-1000

Fax Number

Address

2500 N State St

City

Jackson

State

Mississippi

Zip

39216-4500

Phone Number

601-984-1000

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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