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 420, GULFPORT, MS 39501-2404
(228) 575-1500
(228) 865-3249
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 864-0854
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07789077
—
MS
Enumeration date
02/05/2010
Last updated
04/04/2011
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