Myron Jay Petruska in Belmont - Family Medicine

Myron Jay Petruska - NPI 1043207764

Myron Jay Petruska is a Family Medicine in Belmont, North Carolina. Myron Jay Petruska practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Myron Jay Petruska is 1043207764. The last update date is 2007-11-13.

Myron Jay Petruska's current location address is 209 Park St, Belmont, North Carolina. You can contact this provider via phone number 7048254750 and fax number 7048256985. The mailing address for Myron Jay Petruska is 209 Park St, Belmont, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Myron Jay Petruska
Address 209 Park St, Belmont, North Carolina
Phone Number 7048254750
Fax Number 7048256985
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1043207764
Provider Enumeration Date 2005-09-29
Last Updated Date 2007-11-13

Provider Mailing Address Detail

Address 209 Park St
City Belmont
State North Carolina (NC)
Post Code 280125205
Phone Number 7048254750
Fax Number 7048256985

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 9600678
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
N00678 SC --
8967080 NC --

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FAQs about Myron Jay Petruska

What is the unique identification code assigned to Myron Jay Petruska by the Centers for Medicare & Medicaid Services?

The Myron Jay Petruska has been issued the NPI (National Provider Identifier) 1043207764. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Myron Jay Petruska is geographically located?

The Myron Jay Petruska is physically situated at the following location: 209 Park St, Belmont, NC, 280125205.

What is Myron Jay Petruska's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Myron Jay Petruska is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

When was the Myron Jay Petruska's 1043207764 issued?

The Myron Jay Petruska's 1043207764 was issued on 2005-09-29.

As of what date was the information regarding Myron Jay Petruska, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Myron Jay Petruska, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-13.

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