Individual
DR. MARK K PEREZOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
231 GRANITE RUN DR, LANCASTER, PA 17601-6823
(717) 560-4200
(717) 560-4159
Mailing address
231 GRANITE RUN DR, LANCASTER, PA 17601-6823
(717) 560-4200
(717) 560-4159
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD044689L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1344387
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/09/2005
Last updated
01/15/2008
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