NPI 1154618601

Rebecca L Perez, PAC

Practitioner Physician Assistant Rexburg, ID

Practice location

Address: 393 E 2nd N, Rexburg, ID 83440-1605
Phone: (208) 356-5401
Fax: (208) 356-3111
Mailing address: Medical Center Blvd, Winston Salem, NC 27157-0001

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-05714 (NC)

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Registry record

NPI: 1154618601
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2011
Record last updated: 16 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.