Jerry D Peterie MD

NPI 1023014305 - Internal Medicine - 207RI0200X

NPI Details
NPI 1023014305
Gender Male
Enumeration Date 06/22/2005
Last Updated 02/10/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1100 N SAINT FRANCIS ST
STE 130
WICHITA KS, 67214-2865, US
Phone (316) 264-3505
Fax (316) 264-0908
Business Location
1100 N SAINT FRANCIS ST
STE 130
WICHITA KS, 67214-2865, US
Phone (316) 264-3505
Fax (316) 264-0908
Toxanomy
Taxonomy Code 207RI0200X
License State Kansas
License Number 0416578
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According to our database, Dr. Jerry D Peterie MD NPI is 1023014305, taxonomy code is 207RI0200X and license number is 0416578, license state is located at Kansas. Jerry D Peterie MD physically located at 1100 N Saint Francis St, Wichita KS, 67214-2865. NPI Number Jerry D Peterie MD has the Individual type.

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1023014305 NPI number is provided on an as is basis without warranty of any kind. 1023014305 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry D Peterie MD are for informational purposes only.