Individual
CARISA PETRIS
Active
Individual
CARISA PETRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T2009017018
MO
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
T2009017018
MO
Other
Enumeration date
07/01/2009
Last updated
06/06/2024
Update your record
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