Organization
WILLIAM E. PERRY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E. PERRY MD (OWNER)
(928) 443-7479
Entity
Organization
Contact information
Practice address
480 N FITZMAURICE DR, PRESCOTT, AZ 86303-6234
(928) 443-7479
Mailing address
480 N FITZMAURICE DR, PRESCOTT, AZ 86303-6234
(928) 443-7479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11464
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
286808
ACCHS
AZ
01
—
AZ0898770
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/31/2006
Last updated
08/22/2020
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