Individual
DR. FREDERICK H PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2497
Mailing address
101 SKYLINE DRIVE, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2497
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E3020
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000214359304
UNITED HEALTH CARE
—
01
—
0200495120
RAILROAD MEDICARE
—
05
—
143718003
—
AR
01
—
19366000000
QUALCHOICE
—
01
—
770258401
BREASTCARE
AR
01
—
7888120
AETNA
—
Enumeration date
07/03/2006
Last updated
08/30/2017
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