Individual
DR. ROBERT ELVIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6353
(573) 331-6378
Mailing address
343 GRAPHITE LN, CAPE GIRARDEAU, MO 63701-9148
(573) 651-3259
(573) 332-0206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3H52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202468104
—
MO
Enumeration date
06/20/2005
Last updated
03/09/2015
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