SearchIdaho363AS0400X

Carly Petrie, PA

NPI 1265158810 · on the registry since 2022 · sole proprietor

Practice

Address
520 S Eagle Rd Ste 1241
Meridian, ID 83642
Phone
(208) 381-6930
Organisation at this address
Woman'S Clinic
Robert M Cahn Md Pa
Gem State Pediatrics
Saltzer Medical Group Pa
Robert L. Davidson, M.D. Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
320

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AS0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho