Individual
MR. ROGER ANASTASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 544-4641
(601) 584-4053
Mailing address
PO BOX 1030, HATTIESBURG, MS 39403-1030
(601) 544-4641
(601) 584-4053
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
07384
MS
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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