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Contact Information

JOHN PERL II, MD
190 E BANNOCK
BOISE, ID83712
 Phone: 208-381-2094
 Fax: 208-381-1791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for JOHN PERL II · (Male)

NPI Number 1518906312
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2006
Last updated 06/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 45089
  • IA Medicaid 1518906312
  • MN Medicaid 083760100
  • WI Medicaid 31920500
  • MN Other 1658464 AMERICA'S PPO
  • MN Other 302G3PE BLUE CROSS
  • MN Other 62G95PE BLUE CROSS
  • MN Other HP35300 HEALTHPARTNERS
  • MN Other 1031170 PREFERRED ONE
  • MN Other 300131501 RAILROAD MEDICARE MN
  • MN Other 141889 UCARE
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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