NPI 1336159607

Mark a Gallardo, MD

Practitioner Dermatology Physician Hattiesburg, MS

Practice location

Address: 104 Asbury Cir, Hattiesburg, MS 39402-1302
Phone: (601) 268-5252
Fax: (601) 268-5190
Mailing address: 415 S 28th Ave, Hattiesburg, MS 39401-7246

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 17102 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1336159607
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2006
Record last updated: 14 Jul 2020

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.