Doctor Name: | DR. W. SAM DENNIS |
NPI Number: | 1225115918 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MS18798 |
Business Practice Address: | 2809 Denny Ave Pascagoula, MS - 395815301 |
Business Phone Number: | 2288095000 |
Business Fax Number: | |
Mailing Address: | 2101 Highway 90, GAUTIER |
State: | MS |
Postal Code: | 395535340 |
Phone Number: | 2288092057 |
Fax Number: | 2288095255 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 10/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | MS18798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |