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Individual

RICHARD T PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 N 12TH ST, 512, PHOENIX, AZ 85006-2848
(602) 258-1519
(602) 258-5842
Mailing address
1300 N 12TH ST, 512, PHOENIX, AZ 85006-2848
(602) 258-1519
(602) 258-5842

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12495
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
219768
AZ
Enumeration date
04/27/2006
Last updated
05/27/2008
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