NPI 1033267307
Upa PLLC Div of Urology
Practice location
- Address
- 2500 N State St, Jackson, MS 39216-4500
- Phone
- (601) 815-8991
Authorised official
- Name
- Owen B Evans
- Title
- Manager
- Phone
- (601) 984-5214
Registered specialties
Pediatric Urology Physician
Primary
Registry record
- NPI
- 1033267307
- Entity type
- Organization
- NPI issued
- 5 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.