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Individual

HECTOR FRANCISCO PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
256 E PETTIT AVE, FORT WAYNE, IN 46806-3005
(260) 234-5400
(260) 234-5781
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01044945
IN
207Q00000X
Family Medicine Physician
Primary
01044945A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100365200
IN
05
100365200B
IN
Enumeration date
12/05/2005
Last updated
01/09/2025
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