Provider Demographics
NPI:1134222177
Name:PERRY, GUY F (MD)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:F
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1709 N POST RD
Mailing Address - Street 2:COMMUNITY OCCUPATIONAL HEALTH
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219
Mailing Address - Country:US
Mailing Address - Phone:317-355-2662
Mailing Address - Fax:317-355-3277
Practice Address - Street 1:1709 N POST RD
Practice Address - Street 2:COMMUNITY OCCUPATIONAL HEALTH
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219
Practice Address - Country:US
Practice Address - Phone:317-355-2662
Practice Address - Fax:317-355-3277
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01023391A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INF69666Medicare UPIN