Individual
BARBARA JEAN PERRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1979 MCCULLOCH BLVD N, SUITE 203, LAKE HAVASU CITY, AZ 86403-0953
(928) 855-7553
(928) 855-7553
Mailing address
3840 TEXOMA DR, LAKE HAVASU CITY, AZ 86404-3519
(928) 855-7553
(928) 855-7553
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38702
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0745800
BLUE CROSS
—
Enumeration date
08/09/2005
Last updated
07/08/2007
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