Organization
THE NATIONAL DIABETES & OBESITY RESEARCH INSTITUTE AT TRADITION, MISSI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J. FOS PH.D, D.D.S., M.P.H (EXECUTIVE DIRECTOR)
(228) 831-8764
Entity
Organization
Contact information
Practice address
19289 ST. JOSEPH STREET, SUITE C, BILOXI, MS 39532
(228) 831-8764
(228) 233-1252
Mailing address
19289 ST. JOSEPH STREET, SUITE C, BILOXI, MS 39532
(228) 831-8764
(228) 233-1252
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/23/2018
Last updated
10/18/2018
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