Individual
DR. ALVIN PAUL PERRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8854 W EMERALD ST STE 140, BOISE, ID 83704-4845
(208) 321-4790
(208) 321-4836
Mailing address
8854 W EMERALD ST STE 140, BOISE, ID 83704-4845
(208) 302-2600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.152323
IL
208600000X
Surgery Physician
Primary
M-14120
ID
2086S0102X
Surgical Critical Care Physician
036.152323
IL
2086S0127X
Trauma Surgery Physician
036.152323
IL
Other
Enumeration date
05/03/2012
Last updated
12/30/2024
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