Organization
JESSICA PETRY, M.D. A.P.M.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BEAULLIEU (ADMINISTRATOR)
(337) 504-3335
Entity
Organization
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY STE 410, LAFAYETTE, LA 70508
(337) 504-3335
(337) 504-4795
Mailing address
4809 AMBASSADOR CAFFERY PKWY STE 410, LAFAYETTE, LA 70508-8802
(337) 504-3335
(337) 504-4795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
303881
LA
Other
Enumeration date
03/08/2018
Last updated
07/26/2018
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