Individual
SERGIO PEREZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
559 VINCENT ST, PETERSON AFB, CO 80914-1540
(719) 556-1060
(719) 556-9677
Mailing address
559 VINCENT ST, PETERSON AFB, CO 80914-1540
(719) 556-1060
(719) 556-9677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053651
NCC PA
—
Enumeration date
03/14/2006
Last updated
07/08/2007
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