Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 64151 | AZ |
NPI | 1174057830 |
---|---|
Provider Name | Dr. Franklin Terry Perkins III |
First Address | Keller, TX 76262-4922 |
Second Address | Sierra Vista, AZ 85650-5366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2017 |
Last Update Date | 10/09/2021 |