Individual
DR. FREDERICK BRUCE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1012 S HIGH ST, PORT BYRON, IL 61275-9307
(563) 529-4411
Mailing address
1012 S HIGH ST, PORT BYRON, IL 61275-9307
(563) 529-4411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IA
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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