Individual
DR. ROGER RONALD PERRY
Active
Individual
DR. ROGER RONALD PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101044062
VA
2086X0206X
Surgical Oncology Physician
Primary
0101044062
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-019
TRICARE/CHAMPUS
VA
05
—
007327200
—
VA
01
—
053790
ANTHEM FF
VA
01
—
0554M
BC/BS
NC
01
—
15036
SENTARA
VA
01
—
215383
UHC/MAMSI
VA
01
—
307287
ANTHEM PAC
VA
05
—
890554M
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
02/28/2006
Last updated
01/27/2009
Update your record
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