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Individual

DR. BOBBY DEAN PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 N UNIVERSITY AVE, SUITE 203, LITTLE ROCK, AR 72205-2936
(501) 664-2434
(501) 907-7768
Mailing address
701 N UNIVERSITY AVE, SUITE 203, LITTLE ROCK, AR 72205-2936
(501) 664-2434
(501) 907-7768

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
C7732
AR
208600000X
Surgery Physician
Primary
C-7732
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125279001
AR
Enumeration date
06/22/2005
Last updated
06/02/2015
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