institution
Ivancic Pediatric Clinic Pa
Primary Care Clinic/Center in Tupelo, Mississippi
NPI 1942606256

Ivancic Pediatric Clinic Pa is a Primary Care Clinic/Center based in Tupelo, MS and is specialized in Primary Care. Ivancic Pediatric Clinic Pa practices in Tupelo, MS. The NPI Number for Ivancic Pediatric Clinic Pa is 1942606256 and holds a License No. (Mississippi).

The current practice location address for Ivancic Pediatric Clinic Pa is 499 Gloster Creek Vlg, Tupelo, MS and can be reached out via phone at 662-840-6026 and via fax at 662-840-6030.

Location: 499 Gloster Creek Vlg, Tupelo, MS, 38801-4600
institution
Provider Profile Details
NPI Number
1942606256
Provider Name
Ivancic Pediatric Clinic Pa
Credential
Provider Entity Type
Organization
Address
499 Gloster Creek Vlg, Tupelo, MS, 38801-4600
Phone Number
662-840-6026
Fax Number
662-840-6030
Provider Enumeration Date
11/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
499 Gloster Creek Vlg
City
State
Zip
38801-4600
Phone Number
662-840-6026
Fax Number
662-840-6030
person
Provider Business Mailing Address Details
Address
499 Gloster Creek Vlg
City
State
Zip
38801-4600
Phone Number
662-840-6026
Fax Number
662-840-6030
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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