Joseph W Petrie, PA

NPI #1851721401 in Challis, Idaho

Provider Information

NPI Number
1851721401
Entity Type
Individual
Name
Joseph W Petrie, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Nov 18, 2013
Last Updated
Feb 2, 2022

Practice Location

Address
431 E. MAIN ST.
Address 2
#994
State
Idaho
ZIP Code
83226
Phone
(208) 833-3773

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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