Individual
JONATHAN RICK PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
210 MALL BLVD STE 102, KING OF PRUSSIA, PA 19406-3260
(610) 265-0726
Mailing address
210 MALL BLVD STE 102, KING OF PRUSSIA, PA 19406-3260
(610) 265-0726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS023855
PA
207Q00000X
Family Medicine Physician
OT020892
PA
Other
Enumeration date
06/15/2021
Last updated
06/27/2024
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