Individual
JOHN JOSEPH PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 W 5TH AVE STE 900, SPOKANE, WA 99204-2948
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 17541, SALT LAKE CITY, UT 84117-0541
(801) 232-1633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10502
MT
207R00000X
Internal Medicine Physician
MD60421229
WA
207RC0000X
Cardiovascular Disease Physician
10502
MT
207RC0000X
Cardiovascular Disease Physician
MD60421229
WA
207RI0011X
Interventional Cardiology Physician
10502
MT
207RI0011X
Interventional Cardiology Physician
Primary
MD60421229
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000098585
BLUE CROSS BLUE SHIELD MT
MT
05
—
1851321442
—
MT
Enumeration date
07/03/2006
Last updated
08/13/2015
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