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NPI Code Detail

MEDICARE: DR. RICHARD STEPHEN PANNEL D.O.

MEDICARE:  DR. RICHARD STEPHEN PANNEL  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician21831MS
22084P0800XPsychiatry Physician21831MS

General Provider Information

NPI Number : 1649473489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD STEPHEN PANNEL D.O.
Provider Business Mailing Address
First Line : 1739 UNIVERSITY AVE # 117
Second Line :
City : OXFORD
State : MS
Zip : 38655-4109
Country : US
Telephone Number : 662-380-5022
Fax Number : 662-380-5023
Provider Business Practice Location Address
First Line : 2086 OLD TAYLOR RD
Second Line : SUITE 1012
City : OXFORD
State : MS
Zip : 38655-5188
Country : US
Telephone Number : 662-380-5022
Fax Number : 662-380-5023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2007
Last Update Date : 03/06/2026

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Directions to “ DR. RICHARD STEPHEN PANNEL D.O.” Practice Location

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