Individual
DR. SCOTT GEORGE PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1014 W SAINT CLARE BLVD, SUITE 1020, GONZALES, LA 70737-5023
(225) 743-2000
(225) 743-2010
Mailing address
1014 W SAINT CLARE BLVD, SUITE 1020, GONZALES, LA 70737-5023
(225) 743-2000
(225) 743-2010
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
110099R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1665312
—
LA
Enumeration date
07/14/2006
Last updated
08/15/2011
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