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Individual

PAUL E PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
Mailing address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1042449
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
1042449
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000108334
ANTHEM
IN
05
100353120A
IN
01
254018
HEALTHLINK
IN
Enumeration date
07/08/2005
Last updated
08/28/2019
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