Individual
DR. CRAIG JOHN PETRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 ARCHWAY CT, LYNCHBURG, VA 24502-2889
(434) 237-3664
(434) 237-3711
Mailing address
102 ARCHWAY CT, LYNCHBURG, VA 24502-2889
(434) 237-3664
(434) 237-3711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101059194
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146316
ANTHEM BLUE CROSS AND BLU
VA
Enumeration date
07/25/2006
Last updated
07/08/2007
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