IndividualActive
Mark Gallardo, MD
NPI 1336159607 · Dermatology Physician · Hattiesburg, MS
Provider details
- NPI number
- 1336159607
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 17102 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
104 Asbury Cir
Hattiesburg, MS 39402-1302
Phone: (601) 268-5252
Fax: (601) 268-5190
Approximate (ZIP-level) locationGet directions
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2020-07-14
- Certified
- 2020-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.