Individual
LUKE S PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 53792-0001
(608) 263-0572
(608) 890-7127
Mailing address
4212 RAVENNA PL, LONGMONT, CO 80503-4170
(303) 564-1215
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0052822
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023902
KAISER COMMERCIAL NUMBER
CO
05
—
29778069
—
CO
Enumeration date
07/15/2009
Last updated
01/23/2014
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