Individual
PERRIN NIMLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(503) 840-9724
Mailing address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57071
AZ
207P00000X
Emergency Medicine Physician
MD206813
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
08/16/2023
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