D Balder MD PLLC
D Balder MD PLLC provides Specialist services in Gulfport, Mississippi. Licensed in Louisiana and Mississippi. Registered with an NPI since 2016.
- Licensed in
- LA, MS
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11070 David StGulfport, MS 39503-3852
Phone: (228) 265-5945
Fax: (228) 284-1580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 21885 (MS) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 042354MD (LA) |
Record details
| NPI number | 1366993321 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jody Moran — Office Manager · (228) 265-5945 |
| NPI enumerated | October 14, 2016 |
| Last updated in NPPES | August 20, 2021 |
| Certification date | August 20, 2021 |
| Mailing address | 11070 David St, Gulfport, MS 39503-3852 |
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D Balder MD, PLLC
15190 Community Rd, Gulfport, MS 39503-3485 · (228) 265-5945
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