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Individual

RICHARD PEREZ DOISY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
600 E 5TH STREET, FULTON STATE HOSPITAL, FULTON, MO 65251
(573) 592-4100
(573) 592-3023
Mailing address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-4100
(573) 592-3023

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD106068
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203833116
MO
Enumeration date
08/09/2006
Last updated
08/20/2009
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