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NPI Code Detail

MEDICARE: ROY LEE PERLOT MD

MEDICARE: ROY LEE PERLOT 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
1207R00000XInternal Medicine Physician11328NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00932141OTHERNVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
211328OTHERNVSTATE LICENSE

General Provider Information

NPI Number : 1679575245
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY LEE PERLOT MD
Provider Business Mailing Address
First Line : 6355 S BUFFALO DR FL 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2133
Country : US
Telephone Number : 702-216-3346
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 595 W LAKE MEAD PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7015
Country : US
Telephone Number : 702-566-5500
Fax Number : 702-558-7238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 10/19/2022

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Directions to “ ROY LEE PERLOT MD” Practice Location

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