NPI 1073754602
Desoto Eye Surgery Center LLC
Practice location
- Address
- 726 Goodman Rd E Suite B, Southaven, MS 38671-9530
- Phone
- (662) 349-1959
- Fax
- (662) 349-0424
Authorised official
- Name
- Alan R. Schaeffer
- Title
- Managing Member
- Phone
- (662) 349-1959
Registered specialties
Ambulatory Surgical Clinic/Center
Primary
Registry record
- NPI
- 1073754602
- Entity type
- Organization
- NPI issued
- 11 Mar 2009
- Record last updated
- 5 Apr 2012
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.