Individual
STEVEN W STOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5212
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
11427
MS
207RP1001X
Pulmonary Disease Physician
11427
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110173
—
MS
01
—
110068863
RAILROAD MEDICARE
MS
05
—
1454524
—
LA
01
—
1558980
AMERICAN ADMIN GROUP
MS
Enumeration date
08/29/2006
Last updated
10/24/2018
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