Organization · NPI-2

Capital Orthopedic Clinic PLLC

Orthopaedic Surgery · Flowood, MS

NPI number1215988787
StatusActive
Last updated in NPPESSep 27, 2018

Details

NPI
1215988787
Entity type
Organization (NPI-2)
Legal business name
Capital Orthopedic Clinic PLLC
Organization subpart
No
Enumeration date
May 12, 2006
Last updated
Sep 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes

Practice location

104 Burney Dr.
Flowood, MS 39232

Phone 601-987-8200 · Fax 601-987-8211

Mailing address

104 Burney Dr.
Flowood, MS 39232-6621

Phone 601-987-8200 · Fax 601-987-8211

Authorized official

Michael Dulske
President
6019878200

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