Individual
MICHAEL TODD SPATARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 13TH ST, MEMORIAL HOSPITAL / DEPARTMENT OF PATHOLOGY, GULFPORT, MS 39501-2515
(228) 575-1444
(228) 575-2380
Mailing address
PO BOX 747, GULFPORT, MS 39502-0747
(228) 575-1444
(228) 575-2380
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19726
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E-6143
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD 202106
LA
Other
Enumeration date
05/16/2008
Last updated
01/08/2013
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