Organization
MEMORIAL HOSPITAL AT GULFPORT
Active
Other names
Physicians Clinic at MHG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF T STEINER (VP OF FINANCE)
(228) 865-3106
Entity
Organization
Contact information
Practice address
1340 BROAD AVE, SUITE 140, GULFPORT, MS 39501-2404
(228) 818-0563
(228) 818-0519
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 864-1453
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05576036
—
MS
Enumeration date
10/03/2008
Last updated
01/03/2011
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