Individual
DR. THOMAS PAUL PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
909 E SAN MARNAN DR, WATERLOO, IA 50702-5611
(319) 233-2020
Mailing address
909 E SAN MARNAN DR, WATERLOO, IA 50702-5611
(319) 233-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DO-04534
IA
Other
Enumeration date
06/09/2010
Last updated
02/04/2022
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