Organization
A W PERRY JR M D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN W PERRY JR. M.D. (PRESIDENT)
(818) 790-0385
Entity
Organization
Contact information
Practice address
1808 VERDUGO BLVD, SUITE 118, GLENDALE, CA 91208-1477
(818) 790-0385
(818) 790-4153
Mailing address
1808 VERDUGO BLVD, SUITE 118, GLENDALE, CA 91208-1477
(818) 790-0385
(818) 790-4153
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G43094
CA
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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