Organization
JAN H. PETRI MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN H PETRI MD (OWNER)
(901) 861-2526
Entity
Organization
Contact information
Practice address
2028 W POPLAR AVE STE 112, COLLIERVILLE, TN 38017-0618
(901) 861-2526
Mailing address
9554 FOX HILL CIR S, GERMANTOWN, TN 38139-6829
(901) 485-0863
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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