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1255971016
COASTAL ANESTHESIA SERVICE PA
GULFPORT, MS
NPI
1255971016
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Entity Type
Organization
Authorized Contact
BRIAN DIX
Owner/ Partner
228-831-0050
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
COASTAL ANESTHESIA SERVICE PA
3017 13TH ST
GULFPORT, MS 39501-1833
Phone number: 228-831-0050
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Mailing Address
COASTAL ANESTHESIA SERVICE PA
3017 13TH ST
GULFPORT, MS 39501-1833
Phone number: 228-831-0050
Copy
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