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Individual

RICHARD A PECUNIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
421 S 28TH AVE, HATTIESBURG, MS 39401-7236
(601) 261-3690
(601) 261-3684
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3690
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01096370A
IN
208200000X
Plastic Surgery Physician
Primary
13232
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00113937
MS
05
1673854
LA
01
640507572BO
AMERICAN ADMIN GROUP
MS
Enumeration date
08/27/2006
Last updated
05/02/2025
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