Individual
DR. PHILIP PERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30883 N GLORY GRV, SAN TAN VALLEY, AZ 85143-3124
(858) 504-0916
Mailing address
30883 N GLORY GRV, SAN TAN VALLEY, AZ 85143-3124
(858) 504-0916
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17183
NY
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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