person
Carly Petrie, PA
Surgical Physician Assistant in Meridian, Idaho
NPI 1265158810

Carly Petrie is a Surgical Physician Assistant based in Boise, ID and is specialized in Surgical. Carly Petrie practices in Meridian, ID and has the professional credentials of PA. The NPI Number for Carly Petrie is 1265158810 and holds a License No. (Idaho).

The current practice location address for Carly Petrie is 520 S Eagle Rd Ste 1241, Meridian, ID and can be reached out via phone at 208-381-6930.

Location: 520 S Eagle Rd Ste 1241, Meridian, ID, 83712-6241
person
Provider Profile Details
NPI Number
1265158810
Provider Name
Carly Petrie
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
520 S Eagle Rd Ste 1241, Meridian, ID, 83712-6241
Phone Number
208-381-6930
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
520 S Eagle Rd Ste 1241
City
State
Zip
83642-6355
Phone Number
208-381-6930
Fax Number
person
Provider Business Mailing Address Details
Address
520 S Eagle Rd Ste 1241
City
State
Zip
83642-6355
Phone Number
208-381-6930
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(Idaho)
Definition
Definition to come...
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