Individual
DR. JAYSON ROBERT PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
232248
MA
207P00000X
Emergency Medicine Physician
52029
MN
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
52029
MN
Other
Enumeration date
05/23/2007
Last updated
06/13/2023
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