# TEDDY BEAR OBSTETRICS & GYNECOLOGY PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John C. Perry, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598786105
- **Authorized official:** DR. JOHN CHRISTIAN PERRY M.D. (OWNER)
- **Authorized official phone:** (509) 582-0400

## Contact information

- **Practice address:** 711 S AUBURN ST, SUITE P, KENNEWICK, WA 99336-5665
- **Practice address phone:** (509) 582-0400
- **Practice address fax:** (509) 582-0408
- **Mailing address:** 711 S AUBURN ST, SUITE P, KENNEWICK, WA 99336-5665
- **Mailing address phone:** (509) 582-0400
- **Mailing address fax:** (509) 582-0408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | 00025747 | WA | — |
| 207VX0000X | Obstetrics Physician | 00025747 | WA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 09/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1301241 | — | WA |
| 05 | — | 7126899 | — | WA |