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Individual

ROY LEE PERLOT

Active
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Individual

ROY LEE PERLOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11328
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11328
STATE LICENSE
NV
05
1679575245
NV
01
P00932141
RAILROAD MEDICARE
NV
Enumeration date
08/12/2005
Last updated
10/19/2022
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