Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desoto Osteopathic

Organization Internal Medicine Physician · NPI 1558382200

Desoto Osteopathic is an Internal Medicine Physician in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

187 Stateline Rd E Ste #10
Southaven, MS 38671-1704
Phone: (662) 342-5353
Fax: (662) 393-9753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 15380 (MS)

Record details

NPI number1558382200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Clark — Biller · (662) 429-5221
NPI enumeratedJuly 21, 2006
Last updated in NPPESOctober 22, 2007
Mailing address187 Stateline Rd E, Suite #10, Southaven, MS 38671-1704

Other providers in Southaven