Paul David Petry, D.O.

Pediatrics Physician · Joplin, MO

Individual Active NPI

NPI number 1942235155

Practice location

1030 McIntosh Cir Ste 1
Joplin, MO 64804-3690
Phone
(417) 347-8750

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NPI record

NPI
1942235155
Entity type
Individual (Type 1)
Enumeration date
July 12, 2006
Last updated
March 14, 2024
Certified
March 14, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 111311 MO

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone
(417) 347-3474

About Dr. Petry

Paul David Petry, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1030 McIntosh Cir Ste 1, Joplin, MO 64804-3690. The NPI number 1942235155 was assigned on July 12, 2006 and the record was last updated on March 14, 2024.

Dr. Petry lists a license in the registry: #111311 (MO) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul David Petry, D.O.?

The NPI number is 1942235155.

What is the phone number of Dr. Petry?

The phone number listed for the practice location is (417) 347-8750.

Where is Dr. Petry located?

1030 McIntosh Cir Ste 1, Joplin, MO 64804-3690.

What is the taxonomy code for Dr. Petry?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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