Suzanne M Petla

NPI #1114061991 in Lafayette, Colorado

Provider Information

NPI Number: 1114061991
Entity Type: Individual
Name: Suzanne M Petla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Feb 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 280 EXEMPLA CIR
City: Lafayette
State: Colorado
ZIP Code: 80026-3370
Phone: (720) 536-7598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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