Organization
MEXICO SURGICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER D PERLL MD (PRESIDENT)
(573) 581-2228
Entity
Organization
Contact information
Practice address
626 E SUMMIT ST, SUITE F, MEXICO, MO 65265-3298
(573) 581-2228
(573) 581-4995
Mailing address
626 E SUMMIT ST, SUITE F, MEXICO, MO 65265-3298
(573) 581-2228
(573) 581-4995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
108014
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207968819
—
MO
Enumeration date
07/28/2008
Last updated
08/01/2008
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