Individual
ELIZABETH MARIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60514590
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144529876
—
WA
01
—
P01515078
CWH RR PTAN
WA
01
—
P01515079
RR PTAN
WA
Enumeration date
03/21/2011
Last updated
10/26/2015
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