Provider Demographics
NPI:1972583631
Name:PERO, ROBERT THOMAS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:THOMAS
Last Name:PERO
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9060 113TH ST
Mailing Address - Street 2:
Mailing Address - City:BLUE GRASS
Mailing Address - State:IA
Mailing Address - Zip Code:52726-9502
Mailing Address - Country:US
Mailing Address - Phone:563-381-1215
Mailing Address - Fax:309-782-0289
Practice Address - Street 1:BUILDING 110 SOUTH RODMAN AVENUE
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND ARSENAL
Practice Address - State:IL
Practice Address - Zip Code:61299
Practice Address - Country:US
Practice Address - Phone:309-782-0804
Practice Address - Fax:309-782-0810
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0524552083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine