Individual
JOHN PERL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK, BOISE, ID 83712
(208) 381-2094
(208) 381-1791
Mailing address
2686 E WINDSONG DR, BOISE, ID 83712-5010
(612) 863-1044
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
45089
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083760100
—
MN
01
—
1031170
PREFERRED ONE
MN
01
—
141889
UCARE
MN
05
—
1518906312
—
IA
01
—
1658464
AMERICA'S PPO
MN
01
—
300131501
RAILROAD MEDICARE MN
MN
01
—
302G3PE
BLUE CROSS
MN
05
—
31920500
—
WI
01
—
62G95PE
BLUE CROSS
MN
01
—
HP35300
HEALTHPARTNERS
MN
Enumeration date
06/06/2006
Last updated
06/28/2022
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