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NPI Code Detail

MEDICARE: PERRY & PERRY PS

MEDICARE: PERRY & PERRY PS
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1558544908
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERRY & PERRY PS
Provider Business Mailing Address
First Line : 12610 DES MOINES MEM DR S
Second Line : SUITE 206
City : SEATTLE
State : WA
Zip : 98168-2284
Country : US
Telephone Number : 206-243-7818
Fax Number : 206-243-0419
Provider Business Practice Location Address
First Line : 12610 DES MOINES MEM DR S
Second Line : SUITE 206
City : SEATTLE
State : WA
Zip : 98168-2284
Country : US
Telephone Number : 206-243-7818
Fax Number : 206-243-0419
Authorized Official
Title or Position : PRACTICE OWNER
Name : LAURA PERRY
Credential : DO
Telephone Number : 206-243-7818
Provider Enumeration Date : 12/07/2007
Last Update Date : 12/02/2008

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Directions to “PERRY & PERRY PS ” Practice Location

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