Individual
DR. RONALD EUGENE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
60 N MAIN ST, MALAD CITY, ID 83252-1200
(801) 725-9669
(801) 298-4617
Mailing address
PO BOX 69, MALAD CITY, ID 83252-0069
(801) 725-9669
(801) 298-4617
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-0231581
ID
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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