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NPI Code Detail

MEDICARE: DOUGLAS K PERKINS MD

MEDICARE: DOUGLAS K PERKINS 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
1207P00000XEmergency Medicine Physician10636AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306864384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS K PERKINS MD
Provider Business Mailing Address
First Line : PO BOX 80072
Second Line :
City : CITY OF INDUSTRY
State : CA
Zip : 91716-8072
Country : US
Telephone Number : 818-340-9988
Fax Number : 818-587-2493
Provider Business Practice Location Address
First Line : 3929 E BELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2112
Country : US
Telephone Number : 602-923-5000
Fax Number : 818-587-2493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

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Directions to “ DOUGLAS K PERKINS MD” Practice Location

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