Individual
DR. ROGER H REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15444 DEDEAUX RD, STE. B, GULFPORT, MS 39503-2637
(228) 832-9038
(228) 832-9990
Mailing address
15444 DEDEAUX RD, STE. B, GULFPORT, MS 39503-2637
(228) 832-9038
(228) 832-9990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05835
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014184
—
MS
Enumeration date
11/10/2006
Last updated
07/16/2010
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