Individual
DR. VICKI L. PERRIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
207 VIA OREADA, CORRALES, NM 87048-7437
(505) 417-3233
Mailing address
207 VIA OREADA, CORRALES, NM 87048
(505) 417-3233
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
80-233
NM
207R00000X
Internal Medicine Physician
80-233
NM
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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