Latoya Jeaneen Perry in South Bend - Gynecologic Oncology

Latoya Jeaneen Perry - NPI 1629255880

Latoya Jeaneen Perry is a Gynecologic Oncology in South Bend, Indiana. Latoya Jeaneen Perry practices all healthcare services and medical treatments related to Gynecologic Oncology. The NPI Number for Latoya Jeaneen Perry is 1629255880. The last update date is 2021-03-31.

Latoya Jeaneen Perry's current location address is 100 Navarre Pl Ste 4470, South Bend, Indiana. You can contact this provider via phone number 5746474230 and fax number 5746474235. The mailing address for Latoya Jeaneen Perry is 100 Navarre Pl Ste 4470, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Latoya Jeaneen Perry
Address 100 Navarre Pl Ste 4470, South Bend, Indiana
Phone Number 5746474230
Fax Number 5746474235
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1629255880
Provider Enumeration Date 2008-01-29
Last Updated Date 2021-03-31

Provider Mailing Address Detail

Address 100 Navarre Pl Ste 4470
City South Bend
State Indiana (IN)
Post Code 466011168
Phone Number 5746474230
Fax Number 5746474235

Provider's Primary Taxonomy Detail

Speciality Gynecologic Oncology
Taxonomy 207Vx0201X
Licence No 01083188A
Definition:
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and res

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
261930028 IN MEDICARE PTAN
300033075 IN --

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FAQs about Latoya Jeaneen Perry

What is the Latoya Jeaneen Perry's 1629255880?

The Latoya Jeaneen Perry's NPI (National Provider Identifier) Number is 1629255880. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Latoya Jeaneen Perry's physical address?

The Latoya Jeaneen Perry is physically located at 100 Navarre Pl Ste 4470, in the city of South Bend, IN, with the postal code 466011168.

What is Latoya Jeaneen Perry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Latoya Jeaneen Perry is Gynecologic Oncology, and the taxonomy code that categorizes this field of expertise is 207Vx0201X.

On what date did Latoya Jeaneen Perry receive its 1629255880 assignment from the Centers for Medicare & Medicaid Services?

The Latoya Jeaneen Perry was assigned its 1629255880 on 2008-01-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Latoya Jeaneen Perry most recently updated or refreshed?

The details pertaining to the Latoya Jeaneen Perry, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-31.

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