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Organization

MEMORIAL HOSPITAL AT 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) 865-3469
Entity
Organization

Contact information

Practice address
1340 BROAD AVE, SUITE 450 O, GULFPORT, MS 39501-2404
(228) 867-5012
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 865-1453
(228) 865-1457

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06720281
MS
Enumeration date
05/13/2008
Last updated
04/10/2012
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