Individual
DR. GORDON GAETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MS12026
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017920
—
MS
Enumeration date
01/18/2007
Last updated
07/08/2007
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