Individual
ANDRES PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL EMERGENCY DEPARMENT, FORT KNOX, KY 40121-5111
(313) 550-2056
Mailing address
PO BOX 682785, FRANKLIN, TN 37068-2785
(313) 550-2056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
41947
AZ
207P00000X
Emergency Medicine Physician
Primary
4301406662
MI
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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