Individual
BRIAN ALEXANDER PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E TACHEVAH DR STE 2E107, PALM SPRINGS, CA 92262-5752
(760) 561-7373
(760) 327-5140
Mailing address
555 E TACHEVAH DR STE 2E107, PALM SPRINGS, CA 92262-5752
(760) 561-7373
(760) 327-5140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A145604
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2015
Last updated
08/23/2022
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