Organization
ALEXIS PETRA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS PETRA (MD)
(623) 433-6452
Entity
Organization
Contact information
Practice address
21835 N 51ST ST, PHOENIX, AZ 85054-7140
(623) 433-6452
(623) 433-6452
Mailing address
21835 N 51ST ST, PHOENIX, AZ 85054-7140
(623) 433-6452
(623) 433-6452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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