MEDICARE: STEVEN PERRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	338186	LA

General Provider Information

NPI Number	:	1831727825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN PERRY MD

Provider Business Mailing Address
First Line	:	503 JACK MILLER RD
Second Line	:
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-5607
Country	:	US
Telephone Number	:	337-336-5040
Fax Number	:	337-363-4017

Provider Business Practice Location Address
First Line	:	503 JACK MILLER RD
Second Line	:
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-5607
Country	:	US
Telephone Number	:	337-336-5040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	04/15/2024

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