Individual
DR. BRUCE SAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5120 BEATLINE RD, SUITE B, LONG BEACH, MS 39560-3815
(228) 868-4294
(228) 868-4293
Mailing address
1612 31ST AVE, GULFPORT, MS 39501-2750
(228) 864-8454
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17189
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124144
—
MS
Enumeration date
08/21/2006
Last updated
08/24/2010
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