MICHAEL BIFANO
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1730923707- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 726 GOODMAN RD E STE B, SOUTHAVEN, MS, 386719530
- Phone
- (662) 349-1959
- Fax
- (662) 510-2391
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Optometrist
Primary License: MS #1094