Organization
D BALDER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY MICHELLE MORAN BSN (OFFICE MANAGER)
(228) 265-5945
Entity
Organization
Contact information
Practice address
11070 DAVID ST, GULFPORT, MS 39503-3852
(228) 265-5945
(228) 284-1580
Mailing address
11070 DAVID ST, GULFPORT, MS 39503-3852
(228) 265-5945
(228) 284-1580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042354MD
LA
174400000X
Specialist
Primary
21885
MS
Other
Enumeration date
10/14/2016
Last updated
08/20/2021
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