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Individual

WILLIAM E PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
480 N FITZMAURICE DR, PRESCOTT, AZ 86303-6234
(928) 443-7479
Mailing address
480 N FITZMAURICE DR, PRESCOTT, AZ 86303-6234
(928) 443-7479

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11464
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
286808
ACCHS
AZ
01
86-1043923
AZ FOUNDATION
AZ
01
AZ0898770
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/30/2006
Last updated
07/08/2007
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