NPI | 1215222583 |
---|---|
Doing Business As | GEORGE R. PETRY, MD |
Entity Type | Organization |
Authorized Contact | GEORGE R PETRY Owner/Physician 405-936-0504 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 24137) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2011-09-14 |