NPI 1033175682

Jan H Petri, MD

Practitioner Otolaryngology Physician Collierville, TN

Practice location

Address: 2028 W Poplar Ave STE 112, Collierville, TN 38017-0618
Phone: (901) 861-2526
Fax: (901) 861-2527
Mailing address: 9554 Fox Hill Cir S, Germantown, TN 38139-6829

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 17612 (TN)

Other Otolaryngology providers in Tennessee →

Registry record

NPI: 1033175682
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.