Individual
DR. PERRY E CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W POPLAR ST, STE 220, WALLA WALLA, WA 99362-2858
(509) 522-1030
(509) 529-6066
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 529-1284
(509) 522-1798
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00015038
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140000043
RAILROAD MEDICARE
WA
05
—
239392
—
OR
01
—
8877672
GROUP MDCR PIN
WA
01
—
CA5312
REGENCE WA SATE
WA
Enumeration date
06/20/2005
Last updated
06/25/2010
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