Munera-Cordoba, Pedro Antonion

Munera-Cordoba, Pedro Antonion is an individual health care provider with primary practice located at 1340 Broad Ave Ste 410, Gulfport MS 39501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Munera-Cordoba, Pedro Antonion can be contacted via phone (228) 867-5202.

Contact Information

Primary practice address
1340 Broad Ave Ste 410 Gulfport MS 39501
Phone: (228) 867-5202
Fax: (228) 867-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 17363 Mississippi

Profile Details

NPI number 1528171469
LBN Legal business name Munera-Cordoba, Pedro Antonion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528171469 NPPES
Mississippi MEDICAID 09550215

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