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Individual

MR. ANTHONY J STOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12231 ASHLEY DRIVE, SUITE C, GULFPORT, MS 39503-2775
(228) 831-9400
(228) 831-9600
Mailing address
12231 ASHLEY DRIVE, SUITE C, GULFPORT, MS 39503-2775
(228) 831-9400
(228) 831-9600

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MS13805
MS

Other

Enumeration date
09/19/2006
Last updated
07/08/2007
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