Alexis Petra MD

NPI #1831713148 in Phoenix, Arizona

Provider Information

NPI Number: 1831713148
Entity Type: Organization
Organization Name: Alexis Petra MD
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 2, 2020
Last Updated: Jun 2, 2020

Practice Location

Address: 21835 N 51ST ST
City: Phoenix
State: Arizona
ZIP Code: 85054-7140
Phone: (623) 433-6452

Authorized Official

Name: ALEXIS PETRA
Title: MD
Phone: (623) 433-6452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Primary Care — Primary Care	363LP2300X
Emergency Medicine	207P00000X	Primary

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