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Individual

DR. JOHN ROBERT PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 W 3RD ST, ELK CITY, OK 73644-5205
(580) 225-5900
(580) 225-5901
Mailing address
PO BOX 725, ELK CITY, OK 73648-0725
(580) 225-5900
(580) 225-5901

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10570
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5311257
AETNA
OK
Enumeration date
08/19/2005
Last updated
07/09/2007
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