Individual
REBECCA S PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 COLUMBUS AVE, LEBANON, OH 45036-8330
(513) 932-8171
Mailing address
2195 BELLEVILLE LN, DAYTON, OH 45459-5502
(937) 432-0574
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34006219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000302737
BCBS
—
01
—
000000317052
ANTHEM BCBS
OH
01
—
000000326510
ANTHEM/BCBS
OH
01
—
000000531798
ANTHEM BCBS
OH
01
—
000000543487
ANTHEM BCBS
OH
05
—
0338781
—
OH
01
—
P00034012
RAIL ROAD MEDICARE
—
Enumeration date
06/07/2006
Last updated
08/06/2019
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