Individual
DONALD BLAKE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD.33426
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I081437
MEDICARE
—
01
—
51167163
BCBS
AL
Enumeration date
06/20/2011
Last updated
04/06/2016
Update your record
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