Wendell H. Perry D.O.

NPI 1073617064 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073617064
Gender Male
Enumeration Date 09/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1200 B GALE WILSON BLVD
FAIRFIELD CA, 94533-3552, US
Phone (707) 429-3600
Fax
Business Location
854 MONTROSE CT
SANTA ROSA CA, 95409-2871, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number 20A6869
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According to our database, Wendell H. Perry D.O. NPI is 1073617064, taxonomy code is 207P00000X and license number is 20A6869, license state is located at California. Wendell H. Perry D.O. physically located at 1200 B Gale Wilson Blvd, Fairfield CA, 94533-3552. NPI Number Wendell H. Perry D.O. has the Individual type.

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1073617064 NPI number is provided on an as is basis without warranty of any kind. 1073617064 is maintained by the National Plan & Provider Enumeration System. The contents of Wendell H. Perry D.O. are for informational purposes only.