Individual
DR. ARCHIE CHARLES PERRY JR.
Active
Individual
DR. ARCHIE CHARLES PERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
42033
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245218510
—
NV
01
—
7499443
AETNA
—
01
—
CC6778
BXBS
—
01
—
P00142405
R.R. MEDICARE
—
Enumeration date
01/05/2006
Last updated
10/11/2018
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