Individual
DR. JAMES D PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7295
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 433-8400
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17323
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385212
—
LA
01
—
17323
STATE LICENSE NO.
LA
01
—
200035260
RR MEDICARE #
LA
01
—
53530D847
MEDICARE LEGACY NUMBER
LA
01
—
CI9478
RR MEDICARE GROUP LEGACY
LA
Enumeration date
05/16/2006
Last updated
10/27/2011
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