Organization
ALLSTAR ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR DEWAYNE BLACK MD (OWNER ORTHOPEDIC SURGEON)
(228) 762-3993
Entity
Organization
Contact information
Practice address
2725 ANDREW AVE, PASCAGOULA, MS 39567-1815
(228) 762-3993
(228) 762-3839
Mailing address
ALLSTAR ORTHOPEDICS, PLLC, P O BOX 1918, GAUTIER, MS 39553
(228) 762-3993
(228) 762-3839
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15591
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03504519
—
MS
01
—
573510548D
BLUE CROSS
MS
Enumeration date
02/15/2007
Last updated
03/09/2009
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