Paul Derek Ware MD

NPI 1053374041 - Specialist - 174400000X

NPI Details
NPI 1053374041
Gender Male
Enumeration Date 04/10/2006
Last Updated 07/11/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1340 BROAD AVE
SUITE 240
GULFPORT MS, 39501-2404, US
Phone (228) 575-1200
Fax (228) 575-1205
Business Location
PO BOX 1810
GULFPORT MS, 39502-1810, US
Phone (228) 575-1200
Fax (228) 575-1205
Toxanomy
Taxonomy Code 174400000X
License State Louisiana
License Number 025475
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According to our database, Dr. Paul Derek Ware MD NPI is 1053374041, taxonomy code is 174400000X and license number is 025475, license state is located at Louisiana. Paul Derek Ware MD physically located at 1340 Broad Ave, Gulfport MS, 39501-2404. NPI Number Paul Derek Ware MD has the Individual type.

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1053374041 NPI number is provided on an as is basis without warranty of any kind. 1053374041 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Derek Ware MD are for informational purposes only.