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Individual

ALEXIS PETRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1481
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1481

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30305
AZ
207P00000X
Emergency Medicine Physician
Primary
A87698
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
755043
AZ
Enumeration date
08/10/2006
Last updated
11/10/2025
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