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Individual

BRETT GARLAND PERLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
375TH MEDICAL GROUP, 310 WEST LOSEY STREET, SCOTT AFB, IL 62225
(618) 256-7345
Mailing address
375TH MEDICAL GROUP, 310 WEST LOSEY STREET, SCOTT AFB, IL 62225

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03230462-2
OH
183500000X
Pharmacist
2014012581
MO

Other

Enumeration date
09/04/2007
Last updated
04/20/2018
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