W Dale Perrymore M.D.

NPI 1053366559 - Radiology - 2085R0202X

NPI Details
NPI 1053366559
Gender Male
Enumeration Date 05/23/2006
Last Updated 01/19/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
9601 LILE DR
SUITE 1100
LITTLE ROCK AR, 72205-6333, US
Phone (501) 227-5256
Fax (501) 227-9151
Business Location
9601 LILE DR
SUITE 1100
LITTLE ROCK AR, 72205-6333, US
Phone (501) 227-5256
Fax (501) 227-9151
Toxanomy
Taxonomy Code 2085R0202X
License State Arkansas
License Number C-5498
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According to our database, Dr. W Dale Perrymore M.D. NPI is 1053366559, taxonomy code is 2085R0202X and license number is C-5498, license state is located at Arkansas. W Dale Perrymore M.D. physically located at 9601 Lile Dr, Little Rock AR, 72205-6333. NPI Number W Dale Perrymore M.D. has the Individual type.

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1053366559 NPI number is provided on an as is basis without warranty of any kind. 1053366559 is maintained by the National Plan & Provider Enumeration System. The contents of W Dale Perrymore M.D. are for informational purposes only.