Organization
MEMORIAL HOSPITAL AT GULFPORT
Active
Other names
PHYSICIANS CLINIC AT MHG
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF T STEINER (VP OF FINANCE)
(228) 865-3469
Entity
Organization
Contact information
Practice address
13472 VIDALIA RD, PASS CHRISTIAN, MS 39571-8300
(228) 586-2455
(228) 586-2457
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 575-1730
(228) 575-1735
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09459218
—
MS
Enumeration date
04/09/2010
Last updated
01/24/2011
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