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Individual

SARA DOLL PETRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 290-9745
(425) 290-9745
Mailing address
20625 59TH AVE SE, WOODINVILLE, WA 98072-8320
(425) 349-8377
(425) 290-5139

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00026566
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1300540
WA
Enumeration date
09/17/2006
Last updated
07/08/2007
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