ANDERSON PHYSICIAN ALLIANCE INC NPI 1831497940

NPI Information

  • NPI: 1831497940
  • Provider Name: ANDERSON PHYSICIAN ALLIANCE, INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: UROLOGY CLINIC OF MERIDIAN
  • CLIA Number: 25D0705684
  • Address: 1302 20TH AVE
    MERIDIAN, MS
    ZIP 39301
  • Phone: (601) 693-1055

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NPI Details

ANDERSON PHYSICIAN ALLIANCE, INC is an urology in Meridian, MS. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ANDERSON PHYSICIAN ALLIANCE, INC NPI is 1831497940. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Urology Clinic Of Meridian.

The provider's business location address is:

1302 20TH AVE
MERIDIAN, MS
ZIP 39301-120
Phone: (601) 693-1055
Fax: (601) 482-5312

The provider's authorized official is Anthony Rispoli .
The authorized official title is Cfo and has the following contact phone number (601) 553-6118.

The CLIA number assigned to this NPI record is 25D0705684 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2011 and was last updated on 3/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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