Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 20183 | MS |
N | 207T00000X | Neurosurgeon | 56920 | WI |
N | 207T00000X | Neurosurgeon | N4161 | TX |
NPI | 1104002047 |
---|---|
Provider Name | Gregory R Toczyl |
First Address | Hattiesburg, MS 39401-7246 |
Second Address | Hattiesburg, MS 39401-7246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2008 |
Last Update Date | 11/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02339062 | (05) | MS |