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NPI 1407461593

OrganizationActive

Scott G Petrie MD Apmc

NPI 1407461593 · Non-Pharmacy Dispensing Site · Gonzales, LA

Provider details

NPI number: 1407461593
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Authorized official: Mackenzie Hahn, Ncpdp Coordinator

Practice location

1014 West St Clare Boulevard

Ste 1020

Gonzales, LA 70737

Phone: (225) 743-2008

Fax: (225) 743-2010

More LA providers

Mailing address

200 Rittenhouse Circle

Bristol, PA 19007

Registry dates

Enumerated: 2020-09-15
Last updated: 2020-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Scott G Petrie MD Apmc — NPI 1407461593, Gonzales, LA | NPI Central