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Organization
MEMORIAL HOSPITAL AT GULFPORT
Active
Organization
MEMORIAL HOSPITAL AT GULFPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY T STEINER (VP OF FINANCE)
(228) 867-4000
Entity
Organization
Contact information
Practice address
4500 13TH ST, CARDIO-VASCULAR LAB, GULFPORT, MS 39501-2515
(228) 575-2902
(228) 867-5245
Mailing address
4500 13TH ST, CARDIO-VASCULAR LAB, GULFPORT, MS 39501-2515
(228) 575-2902
(228) 867-5245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/04/2013
Last updated
06/23/2014
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