Basic Information
| Provider Information | |||||||||
| NPI: | 1972583631 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PERO | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | THOMAS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9060 113TH ST | ||||||||
| Address2: | |||||||||
| City: | BLUE GRASS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 527269502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5633811215 | ||||||||
| FaxNumber: | 3097820289 | ||||||||
| Practice Location | |||||||||
| Address1: | BUILDING 110 SOUTH RODMAN AVENUE | ||||||||
| Address2: | |||||||||
| City: | ROCK ISLAND ARSENAL | ||||||||
| State: | IL | ||||||||
| PostalCode: | 61299 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3097820804 | ||||||||
| FaxNumber: | 3097820810 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2006 | ||||||||
| LastUpdateDate: | 02/10/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083P0500X | 35.052455 | OH | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine |
No ID Information.