Individual
DR. MAURICIO RENDON BERNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 HIGHLAND PKWY, PICAYUNE, MS 39466-5575
(601) 358-9765
(601) 798-2805
Mailing address
146 HIGHLAND PKWY, PICAYUNE, MS 39466-5575
(601) 358-9765
(601) 798-2805
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
28834
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
03/26/2015
Last updated
10/01/2021
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