Individual
BEVERLEY PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21840 NORMANDIE AVE, TORRANCE, CA 90502-2047
(310) 222-5015
(310) 222-5027
Mailing address
21840 NORMANDIE AVE, TORRANCE, CA 90502-2047
(310) 222-5015
(310) 222-5027
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A55817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A558170
—
CA
Enumeration date
08/09/2006
Last updated
09/25/2013
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