Individual
BEVERLY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
6401 TRUXTUN AVE, STE, BAKERSFIELD, CA 93309-0613
(661) 327-9300
(661) 327-9301
Mailing address
9107 STATEN ISLAND DR, BAKERSFIELD, CA 93311-9672
(559) 410-5328
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA14634
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PA14634
—
CA
Enumeration date
02/22/2006
Last updated
10/22/2013
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