Organization
ANCHOR MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN BYDALEK MD (OWNER)
(228) 769-9155
Entity
Organization
Contact information
Practice address
3613B HOSPITAL ST, PASCAGOULA, MS 39581-4112
(228) 769-9155
Mailing address
PO BOX 1206, PASCAGOULA, MS 39568-1206
(228) 769-9155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06122758
—
MS
Enumeration date
07/22/2009
Last updated
11/10/2009
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