Provider Demographics
NPI:1174538037
Name:PERO, BARBARA A (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:PERO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1631 HOSPITAL DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4728
Mailing Address - Country:US
Mailing Address - Phone:505-983-3275
Mailing Address - Fax:505-983-4812
Practice Address - Street 1:1631 HOSPITAL DR
Practice Address - Street 2:SUITE 110
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4728
Practice Address - Country:US
Practice Address - Phone:505-983-3275
Practice Address - Fax:505-983-4812
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
NM91-284207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME10364Medicare UPIN