Individual
WILLIAM O PASSARELLI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 HOSPITAL ST STE 102, PASCAGOULA, MS 39581-5329
(228) 762-1002
Mailing address
4300 HOSPITAL ST STE 102, PASCAGOULA, MS 39581-5329
(228) 762-1002
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MS17347
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0815455669
—
MS
Enumeration date
07/19/2006
Last updated
06/28/2021
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