Lyudmila Ivanovna Petruk in Tacoma - Neuromusculoskeletal Medicine, Sports Medicine
Lyudmila Ivanovna Petruk - NPI 1528154770
Lyudmila Ivanovna Petruk is a Neuromusculoskeletal Medicine, Sports Medicine in Tacoma, Washington. Lyudmila Ivanovna Petruk practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Lyudmila Ivanovna Petruk is 1528154770. The last update date is 2021-06-10.
Lyudmila Ivanovna Petruk's current location address is 209 Martin Luther King Jr Way, Tacoma, Washington. You can contact this provider via phone number 2535963410. The mailing address for Lyudmila Ivanovna Petruk is 209 Martin Luther King Jr Way, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyudmila Ivanovna Petruk |
|---|---|
| Address | 209 Martin Luther King Jr Way, Tacoma, Washington |
| Phone Number | 2535963410 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528154770 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2021-06-10 |
Provider Mailing Address Detail
| Address | 209 Martin Luther King Jr Way |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984054265 |
| Phone Number | 2535963410 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | MD00046499 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8543415 | WA | -- | |
| MD27033 | OR | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lyudmila Ivanovna Petruk by the Centers for Medicare & Medicaid Services?
The Lyudmila Ivanovna Petruk has been assigned the NPI (National Provider Identifier) 1528154770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Lyudmila Ivanovna Petruk?
The Lyudmila Ivanovna Petruk is situated at 209 Martin Luther King Jr Way, in the city of Tacoma, state of WA, with the zip code 984054265.
Could you please share the complete physical address where Lyudmila Ivanovna Petruk is geographically located?
The Lyudmila Ivanovna Petruk is physically situated at the following location: 209 Martin Luther King Jr Way, Tacoma, WA, 984054265.
As of what date were the details pertaining to Lyudmila Ivanovna Petruk last refreshed?
The information related to the Lyudmila Ivanovna Petruk, including its address, specialty, and other relevant details, was last updated on 2021-06-10.
When was the information regarding Lyudmila Ivanovna Petruk, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lyudmila Ivanovna Petruk, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-10.
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