| Doctor Name: | DR. ROBERT JASON THOMAS PERRY |
| NPI Number: | 1508872540 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 23700 |
| Business Practice Address: | Madigan Army Medical Ctr 9040 Reid St Tacoma, WA - 984311100 |
| Business Phone Number: | 2539682200 |
| Business Fax Number: | 2539680232 |
| Mailing Address: | 9040 Reid St, Madigan Army Medical Center Attn Department Of Surgery TACOMA |
| State: | WA |
| Postal Code: | 984311100 |
| Phone Number: | 2539682200 |
| Fax Number: | 2539680232 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 09/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 23700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |