Mississippi Orthopaedic Institute
NPI #1295161404 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1295161404
- Entity Type
- Organization
- Organization Name
- Mississippi Orthopaedic Institute
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 19, 2013
- Last Updated
- Sep 19, 2013
Practice Location
- Address
- 15190 COMMUNITY RD STE 120
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-3484
- Phone
- (228) 328-2400
Authorized Official
- Name
- ROBERT LANCE JOHANSEN, MD
- Title
- OWNER
- Phone
- (228) 328-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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