Individual
HORACE MITCHELL PERRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3660 VISTA AVE, ROOM 204, SAINT LOUIS, MO 63110-2540
(314) 977-8462
(314) 771-8575
Mailing address
3691 RUTGER ST, PROVIDER ENROLLMENT, SAINT LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6777
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MOR7248
MO
Other
Enumeration date
11/01/2006
Last updated
05/19/2011
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