DERICK PETRIE

HOUMA, LA
NPI1538559927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  200781)
Enumeration Date2015-01-23
Last Update Date2015-01-23
Business Address
-- DERICK PETRIE PA-C
928 SCHOOL ST
HOUMA, LA 70360-4628
Phone number: 985-851-1970
Mailing Address
-- DERICK PETRIE PA-C
1418 LOUISE ST
THIBODAUX, LA 70301-4259
Phone number: 985-791-4344
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