Tysen J Petre is a Family Medicine in Kirksville, Missouri. Tysen J Petre practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tysen J Petre is 1871642470. The last update date is 2020-05-20.
Tysen J Petre's current location address is 800 W Jefferson St, Kirksville, Missouri. You can contact this provider via phone number 6606654432 and fax number 6609564392. The mailing address for Tysen J Petre is 800 W Jefferson St, Kirksville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tysen J Petre |
|---|---|
| Address | 800 W Jefferson St, Kirksville, Missouri |
| Phone Number | 6606654432 |
| Fax Number | 6609564392 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1871642470 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2020-05-20 |
Provider Mailing Address Detail
| Address | 800 W Jefferson St |
|---|---|
| City | Kirksville |
| State | Missouri (MO) |
| Post Code | 635011443 |
| Phone Number | 6606654432 |
| Fax Number | 6609564392 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2006004444 |
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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 |
|---|---|---|---|
| BNDD | MO | 400608434 |
Post Comment/ Review Below
What is the Tysen J Petre's 1871642470?
The Tysen J Petre's NPI (National Provider Identifier) Number is 1871642470. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tysen J Petre located?
The Tysen J Petre is located at 800 W Jefferson St, Kirksville, MO 635011443.
What is Tysen J Petre's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tysen J Petre is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871642470 to Tysen J Petre?
The Tysen J Petre received its 1871642470 assignment from the Centers for Medicare & Medicaid Services on 2007-01-10.
When was the Tysen J Petre's information last updated?
The Tysen J Petre's information was last updated on 2020-05-20.
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