Organization
LETONOFF ORTHOPAEDICS & SPORTS
Active
Organization
LETONOFF ORTHOPAEDICS & SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIG J LETONOFF MD (OWNER)
(228) 896-4747
Entity
Organization
Contact information
Practice address
452 COURT HOUSE ROAD, SUITE G, GULFPORT, MS 39507
(228) 896-4747
(228) 896-4740
Mailing address
452 COURT HOUSE ROAD, SUITE G, GULFPORT, MS 39507
(228) 896-4747
(228) 896-4740
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
18468
MS
Other
Enumeration date
06/10/2009
Last updated
09/14/2009
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