Individual
DOUGLAS PAUL PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1335 S KANSAS AVE, TOPEKA, KS 66612-1332
(785) 249-3513
Mailing address
8889 ROBIN LN, OZAWKIE, KS 66070-5096
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0001579
CO
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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