Organization
MEMORIAL HOSPITAL OF GULFPORT
Active
Other names
Physicians Clinic at MHG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF T STEINER (VP OF FINANCE)
(228) 865-3106
Entity
Organization
Contact information
Practice address
1340 BROAD AVE, STE 210, GULFPORT, MS 39501-2404
(228) 575-1600
(228) 575-1603
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 865-1453
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06471328
—
MS
Enumeration date
01/08/2009
Last updated
01/03/2011
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