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Individual

JAMES PATRICK PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 TOWN CENTER RD S, SUITE B, MOORESVILLE, IN 46158
(317) 497-2300
(317) 497-2502
Mailing address
6626 E 75TH ST, 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01042090A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000271027
ANTHEM PROVIDER NUMBER
IN
05
100388130
IN
Enumeration date
05/23/2005
Last updated
11/27/2023
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