Gulfport Obstetrical & Gynecological Clinic, PA

Organization Active NPI Obstetrics & Gynecology Physician · Gulfport, MS

NPI 1366411944 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1366411944
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, PA
Practice address
4502 Old Pass Rd
Gulfport, MS 39501-2585
Phone
(228) 863-9977
Fax
(228) 863-9912
NPI assigned
Mar 16, 2006
Organization subpart
No

Authorized official

Name
Mr. David P Burkart
Title
Administrator
Phone
(228) 863-9977

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X MS Yes

Addresses

Primary practice location

4502 Old Pass Rd
Gulfport, MS 39501-2585

Mailing address

4502 Old Pass Rd
Gulfport, MS 39501-2585
Phone (228) 863-9977

Other providers in Gulfport, MS

All providers in Gulfport, MS · Obstetrics & Gynecology Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.