NPI 1295161404
Mississippi Orthopaedic Institute
Practice location
- Address
- 15190 Community Rd STE 120, Gulfport, MS 39503-3484
- Phone
- (228) 328-2400
- Fax
- (228) 328-4200
- Mailing address
- 15190 Community Rd Suite 120, Gulfport, MS 39503
Authorised official
- Name
- Robert Lance Johansen
- Title
- Owner
- Phone
- (228) 328-2400
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1295161404
- Entity type
- Organization
- NPI issued
- 19 Sep 2013
- Record last updated
- 19 Sep 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.