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Individual

DR. BRIAN HARRIS PERLMUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13460 N. 94TH DRIVE, SUITE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N. 94TH DRIVE, SUITE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
27305
AZ
207RI0011X
Interventional Cardiology Physician
Primary
27305
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
465139
AZ
01
Z256007
MEDICARE
AZ
Enumeration date
11/01/2006
Last updated
06/16/2021
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