Individual
DR. EDWARD T PERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41870 GARSTIN DR, BIG BEAR LAKE, CA 92315-2088
(909) 866-6501
Mailing address
41870 GARSTIN DR, BIG BEAR LAKE, CA 92315-2088
(909) 866-6501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
73232
AZ
207P00000X
Emergency Medicine Physician
Primary
R5624
TX
207Q00000X
Family Medicine Physician
A127126
CA
207Q00000X
Family Medicine Physician
MD2017-0859
NM
Other
Enumeration date
04/23/2012
Last updated
03/15/2024
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