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Individual

DR. JOHN S PETREY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 E SPRING ST, SUITE 200, NEW ALBANY, IN 47150-2926
(812) 945-7536
(812) 945-7542
Mailing address
700 E SPRING ST, SUITE 200, NEW ALBANY, IN 47150-2926
(812) 945-7536
(812) 945-7542

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01043127A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100460250A
IN
01
61-1091357
TAX ID
IN
Enumeration date
12/05/2006
Last updated
07/10/2014
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