Individual
BENJAMIN MERRILL PERRY
Active
Individual
BENJAMIN MERRILL PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
DO168846
OR
207N00000X
Dermatology Physician
Primary
O1145
ID
207ND0101X
MOHS-Micrographic Surgery Physician
O1145
ID
208D00000X
General Practice Physician
PG163364
OR
Other
Enumeration date
06/12/2013
Last updated
10/01/2020
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