Organization
TULANE DERMATOLOGY AFFILIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA E. DEPREO (OFFICE MANAGER)
(228) 864-8049
Entity
Organization
Contact information
Practice address
1245 42ND AVENUE, GULFPORT, MS 39501
(228) 864-8049
(228) 864-7655
Mailing address
1245 42ND AVENUE, GULFPORT, MS 39501
(228) 864-8049
(228) 864-7655
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
12/01/2010
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