Individual ProviderStephen Richard PerryChiropractorChiropractic ProvidersPractice Address1500 E Heritage Park St Ste 125, Meridian, ID 83646-5887(208) 968-9688(775) 337-0184PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Richard Perry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1932476827Provider TypeIndividualFull NamePerry, Stephen RichardTitleDr.CredentialDCGenderMaleSole ProprietorNoEnumeration Date11/21/2011Last Updated4/30/2019Contact InformationPractice LocationPractice Address1500 E Heritage Park St Ste 125, Meridian, ID 83646-5887Phone(208) 968-9688FaxUnlisted FaxMailing LocationMailing Address2115 Green Vista Dr, #102, Sparks, NV 89431-8546Phone(775) 337-0184Fax(775) 337-2395Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseB01420Nevada