Individual
KENT A PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 BEARD CREEK RD STE 200, EDWARDS, CO 81632-6426
(970) 945-2840
(970) 945-2893
Mailing address
2700 GILSTRAP CT, SUITE 230, GLENWOOD SPRINGS, CO 81601-8735
(970) 945-2840
(970) 945-2893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22520
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000104567
—
CO
Enumeration date
01/23/2006
Last updated
12/10/2019
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