Gary Lee Petry is a Family Medicine in Holton, Kansas. Gary Lee Petry practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary Lee Petry is 1073605085. The last update date is 2020-11-25.
Gary Lee Petry's current location address is 1110 Columbine Drive, Holton, Kansas. You can contact this provider via phone number 7853642126 and fax number 7853642801. The mailing address for Gary Lee Petry is 1110 Columbine Drive, Holton, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Lee Petry |
|---|---|
| Address | 1110 Columbine Drive, Holton, Kansas |
| Phone Number | 7853642126 |
| Fax Number | 7853642801 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073605085 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2020-11-25 |
Provider Mailing Address Detail
| Address | 1110 Columbine Drive |
|---|---|
| City | Holton |
| State | Kansas (KS) |
| Post Code | 66436 |
| Phone Number | 7853642126 |
| Fax Number | 7853642801 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 428470 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80175101 | KS | RR MEDICARE | |
| 10039800A | KS | -- | |
| 101003 | KS | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary Lee Petry by the Centers for Medicare & Medicaid Services?
The Gary Lee Petry has been assigned the NPI (National Provider Identifier) 1073605085 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Gary Lee Petry is physically located?
The Gary Lee Petry is physically situated at the following address: 1110 Columbine Drive, Holton, KS, 66436.
What is Gary Lee Petry's area of expertise and its corresponding taxonomy classification?
The Gary Lee Petry's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When was the Gary Lee Petry's 1073605085 issued?
The Gary Lee Petry's 1073605085 was issued on 2006-09-28.
As of what date were the Gary Lee Petry's details last updated?
The information pertaining to the Gary Lee Petry, including its address, specialty, and other details, was most recently updated on 2020-11-25.
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