Individual
MR. PEIRUCH PERRY WICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 N 13TH AVE, SUITE F, UPLAND, CA 91786-4975
(909) 946-3826
(909) 949-4457
Mailing address
630 N 13TH AVE, SUITE F, UPLAND, CA 91786-4975
(909) 946-3826
(909) 949-4457
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A32660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8208912
—
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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