Individual
DR. RAUL G BETANCOURT-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-5571
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1558968529
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2020
Last updated
04/01/2022
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