Individual
MR. DAVID LEE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(708) 423-3589
Mailing address
PO BOX 134, SEASIDE, OR 97138-0134
(707) 628-9721
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
200960022CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
3251
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60415098
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8927791
MEDICARE
WA
Enumeration date
12/05/2006
Last updated
06/18/2014
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