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 FINANCES)
(228) 865-3469
Entity
Organization
Contact information
Practice address
15190 COMMUNITY RD, SUITE 240, GULFPORT, MS 39503-3485
(228) 539-2242
(228) 539-2712
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 864-0854
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006
TRICARE GROUP
MS
05
—
06372030
—
MS
Enumeration date
04/12/2010
Last updated
01/03/2011
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