Individual
JOHN MIYAKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
12337 ASHLEY DR, SUITE F, GULFPORT, MS 39503-2753
(228) 365-6932
Mailing address
12337 ASHLEY DR, SUITE F, GULFPORT, MS 39503-2753
(228) 365-6932
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
MS
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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