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Organization
PETRIE FAMILY ENTERPRISES, PC
Active
Organization
PETRIE FAMILY ENTERPRISES, PC
Active
Other names
White Cloud Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PETRIE PAC (OWNER)
(208) 833-1313
Entity
Organization
Contact information
Practice address
431 E. MAIN ST., #994, CHALLIS, ID 83226
(208) 833-1313
(833) 839-1195
Mailing address
431 E. MAIN ST., #994, CHALLIS, ID 83226
(208) 833-1313
(833) 839-1195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
08/23/2016
Last updated
06/26/2024
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