Individual
MICHAEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 S 500 E, SALT LAKE CITY, UT 84102-1907
(801) 783-5011
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9703973-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2013
Last updated
11/14/2016
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