Provider Demographics
NPI:1558331744
Name:PERLOW, ROBYN BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:BRUCE
Last Name:PERLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15645
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89114-5645
Mailing Address - Country:US
Mailing Address - Phone:702-669-5846
Mailing Address - Fax:702-240-8790
Practice Address - Street 1:4475 S EASTERN
Practice Address - Street 2:SOUTHWEST MEDICAL ASSOCIATES
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119
Practice Address - Country:US
Practice Address - Phone:702-737-1880
Practice Address - Fax:702-650-0763
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV11160208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F15935Medicare UPIN
NV40628Medicare PIN