| Trapod Llc | |
|
564 Goodman Rd E Southaven MS 38671-9526 | |
| (662) 349-7333 | |
| Not Available |
| Full Name | Trapod Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 564 Goodman Rd E, Southaven, Mississippi |
| Authorized Official Name and Position | Brian Shwer (PRESIDENT) |
| Authorized Official Contact | 6623497333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trapod Llc 564 Goodman Rd E Southaven MS 38671-9526 Ph: (662) 349-7333 | Trapod Llc 564 Goodman Rd E Southaven MS 38671-9526 Ph: (662) 349-7333 |
| NPI Number | 1780928739 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780928739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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