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Individual

DR. BYRON LEONARD PERKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 S ADAMS ST, NEVADA, MO 64772-3210
(417) 667-6015
(417) 448-8970
Mailing address
800 S ASH ST, NEVADA, MO 64772-3224
(417) 667-3355
(417) 667-4234

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023044254
MO
207Q00000X
Family Medicine Physician
72315
CA
207Q00000X
Family Medicine Physician
81270
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A723150
CA
01
P00698300
RAILROAD MEDICARE
GA
Enumeration date
06/30/2006
Last updated
10/21/2024
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