EM DIMITRI DO PMC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1285993337- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 624 HIGHWAY 90, BAY ST LOUIS, MS, 395202715
- Phone
- (228) 467-5644
- Fax
- (228) 467-9961
Specialties & Taxonomies
Dermatology
License: MS #21866
Dermatology
Primary License: LA #14885R