Individual
MATTHEW PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0058743
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63235
ALBANY MEDICAL CENTER
NY
Enumeration date
04/19/2012
Last updated
07/21/2022
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