Perry Clyde Rothrock III M.D.

NPI 1023093655 - Family Medicine - 207Q00000X

NPI Details
NPI 1023093655
Gender Male
Enumeration Date 12/06/2005
Last Updated 04/06/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
8309 CORDOVA RD
CORDOVA TN, 38016-2046, US
Phone (901) 757-9984
Fax (901) 757-0536
Business Location
8309 CORDOVA RD
CORDOVA TN, 38016-2046, US
Phone (901) 757-9984
Fax (901) 757-0536
Toxanomy
Taxonomy Code 207Q00000X
License State Arkansas
License Number C 7965
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According to our database, Dr. Perry Clyde Rothrock III M.D. NPI is 1023093655, taxonomy code is 207Q00000X and license number is C 7965, license state is located at Arkansas. Perry Clyde Rothrock III M.D. physically located at 8309 Cordova Rd, Cordova TN, 38016-2046. NPI Number Perry Clyde Rothrock III M.D. has the Individual type.

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1023093655 NPI number is provided on an as is basis without warranty of any kind. 1023093655 is maintained by the National Plan & Provider Enumeration System. The contents of Perry Clyde Rothrock III M.D. are for informational purposes only.