Individual
DR. FREDERICK B GAUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10556 HIGHWAY 49, GULFPORT, MS 39503-4109
(228) 539-2399
(228) 539-2377
Mailing address
10556 HIGHWAY 49, GULFPORT, MS 39503-4109
(228) 539-2399
(228) 539-2377
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
016195
LA
207P00000X
Emergency Medicine Physician
09750
MS
207P00000X
Emergency Medicine Physician
MD.27709
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942867
—
AL
01
—
051538562
BCBS
AL
05
—
1338940
—
LA
01
—
7943900
AETNA
AL
Enumeration date
05/26/2006
Last updated
01/09/2013
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