Individual
DR. CHRISTOPHER L PETREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-3344
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 239-2360
(859) 239-6785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02006680A
IN
207R00000X
Internal Medicine Physician
03666
KY
207R00000X
Internal Medicine Physician
2013015508
MO
207R00000X
Internal Medicine Physician
DO2344
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
03666
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
02006680A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2013015508
MO
207RI0200X
Infectious Disease Physician
05-37065
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AR
05
—
PENDING
—
MO
05
—
PENDING
—
OK
Enumeration date
06/18/2010
Last updated
10/04/2022
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