Provider Demographics
NPI:1033557418
Name:PERRY, WILLIAM PATTON (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PATTON
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 DEBARR RD STE 360
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-6809
Mailing Address - Country:US
Mailing Address - Phone:907-792-7920
Mailing Address - Fax:
Practice Address - Street 1:2751 DEBARR RD STE B360
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-6809
Practice Address - Country:US
Practice Address - Phone:907-792-7920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1547112085R0202X
NC2017-020202085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty