NPI 1679565428

Richard J Paddock, MD

Practitioner Urology Physician Gulfport, MS

Practice location

Address: 1340 Broad Ave Suite 210, Gulfport, MS 39501
Phone: (228) 575-1600
Fax: (228) 575-1603
Mailing address: PO Box 1810, Gulfport, MS 39502

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 32690 (MS)

Other Urology providers in Mississippi →

Specialist

Other Service Providers Taxonomy 174400000X Licence 015310 (LA)

Other Specialist providers in Mississippi →

Registry record

NPI: 1679565428
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2005
Record last updated: 15 Feb 2024

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.