Organization
PATTI J. PERRY, M.D. PC
Active
Other names
Cactus Kids Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI J. PERRY M.D. (OWNER)
(928) 782-6830
Entity
Organization
Contact information
Practice address
1832 S. 8TH AVENUE, YUMA, AZ 85364
(928) 782-6830
(928) 782-3312
Mailing address
1832 S. 8TH AVENUE, YUMA, AZ 85364
(928) 782-6830
(928) 782-3312
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
19663
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299744
—
AZ
Enumeration date
07/12/2012
Last updated
07/12/2012
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