Individual
NAOMI F. PETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3625 N ANKENY BLVD STE E, ANKENY, IA 50023-4611
(515) 965-4664
Mailing address
3625 N ANKENY BLVD STE E, ANKENY, IA 50023-4611
(515) 965-4664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
109585
IA
Other
Enumeration date
02/27/2020
Last updated
09/28/2021
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