Henry D. Petry in Joplin - Geriatric Medicine

Henry D. Petry - NPI 1770568164

Henry D. Petry is a Geriatric Medicine in Joplin, Missouri. Henry D. Petry practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Henry D. Petry is 1770568164. The last update date is 2011-08-31.

Henry D. Petry's current location address is Po Box 3810, Joplin, Missouri. You can contact this provider via phone number 4173474374. The mailing address for Henry D. Petry is Po Box 3810, Joplin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Henry D. Petry
Address Po Box 3810, Joplin, Missouri
Phone Number 4173474374
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1770568164
Provider Enumeration Date 2005-12-08
Last Updated Date 2011-08-31

Provider Mailing Address Detail

Address Po Box 3810
City Joplin
State Missouri (MO)
Post Code 648033810
Phone Number 4173474374
Fax Number

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No 31192
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
240027425 MO --

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FAQs about Henry D. Petry

What is the Henry D. Petry's unique identification number?

The Henry D. Petry has been assigned the NPI (National Provider Identifier) Number 1770568164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Henry D. Petry is physically located?

The Henry D. Petry is physically situated at the following address: Po Box 3810, Joplin, MO, 648033810.

What is Henry D. Petry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Henry D. Petry is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Qg0300X.

On what date was the 1770568164 assigned to Henry D. Petry?

The Henry D. Petry was issued its 1770568164 on 2005-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Henry D. Petry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Henry D. Petry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-08-31.

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