NPI 1053374041

Paul Derek Ware, MD

Practitioner Surgery Physician Gulfport, MS

Practice location

Address: 1340 Broad Ave Suite 240, Gulfport, MS 39501-2404
Phone: (228) 575-1200
Fax: (228) 575-1205
Mailing address: PO Box 1810, Gulfport, MS 39502-1810

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 025475 (LA)

Other Surgery providers in Mississippi →

Specialist

Other Service Providers Taxonomy 174400000X Licence 025475 (LA)

Other Specialist providers in Mississippi →

Registry record

NPI: 1053374041
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2006
Record last updated: 11 Jul 2014

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.