Provider Demographics
NPI:1174694228
Name:PERRY, SHERRY ANN (BOC & ABC)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:ANN
Last Name:PERRY
Suffix:
Gender:F
Credentials:BOC & ABC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 LANEWAY DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-5829
Mailing Address - Country:US
Mailing Address - Phone:405-688-4724
Mailing Address - Fax:
Practice Address - Street 1:631 NW 7TH ST
Practice Address - Street 2:NEW CITY SHOPPING CENTER
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-3803
Practice Address - Country:US
Practice Address - Phone:405-703-1100
Practice Address - Fax:405-703-1010
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies