Individual
TAMARA T PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 512-13, LITTLE ROCK, AR 72202-3500
(501) 364-4092
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-4032
AR
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
E-4032
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154252001
—
AR
Enumeration date
10/13/2006
Last updated
06/06/2024
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