Whalio Doctors

NPI 1013047703

Raymond L Struck, MD

Practitioner Psychiatry Physician Hattiesburg, MS

Practice location

Address
103 S 19th Ave, Hattiesburg, MS 39401-6171
Phone
(601) 544-4641
Fax
(601) 582-1607
Mailing address
PO Box 1030, Hattiesburg, MS 39403-1030

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 17357 (MS)

Registry record

NPI
1013047703
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Mar 2007
Record last updated
16 Apr 2010

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.