person
Derick Petrie, PA-C
Medical Physician Assistant in Houma, Louisiana
NPI 1538559927

Derick Petrie is a Medical Physician Assistant based in Thibodaux, LA and is specialized in Medical. Derick Petrie practices in Houma, LA and has the professional credentials of PA-C. The NPI Number for Derick Petrie is 1538559927 and holds a License No. 200781 (Louisiana).

The current practice location address for Derick Petrie is 928 School St, Houma, LA and can be reached out via phone at 985-851-1970.

Location: 928 School St, Houma, LA, 70301-4259
person
Provider Profile Details
NPI Number
1538559927
Provider Name
Derick Petrie
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
928 School St, Houma, LA, 70301-4259
Phone Number
985-851-1970
Fax Number
Provider Enumeration Date
01/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
928 School St
City
State
Zip
70360-4628
Phone Number
985-851-1970
Fax Number
person
Provider Business Mailing Address Details
Address
928 School St
City
State
Zip
70360-4628
Phone Number
985-851-1970
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
200781 (Louisiana)
Definition
Definition to come...
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