Russell Sean Petrie in Newport Beach - Sports Medicine
Russell Sean Petrie - NPI 1730119074
Russell Sean Petrie is a Sports Medicine in Newport Beach, California. Russell Sean Petrie practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Russell Sean Petrie is 1730119074. The last update date is 2020-02-17.
Russell Sean Petrie's current location address is 22 Corporate Plaza Dr, Newport Beach, California. You can contact this provider via phone number 9497227038 and fax number 9496304935. The mailing address for Russell Sean Petrie is 22 Corporate Plaza Dr, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Sean Petrie |
|---|---|
| Address | 22 Corporate Plaza Dr, Newport Beach, California |
| Phone Number | 9497227038 |
| Fax Number | 9496304935 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730119074 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-02-17 |
Provider Mailing Address Detail
| Address | 22 Corporate Plaza Dr |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926607901 |
| Phone Number | 9497227038 |
| Fax Number | 9496304935 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | G85402 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Post Comment/ Review Below
What is the Russell Sean Petrie's 1730119074?
The Russell Sean Petrie's NPI (National Provider Identifier) Number is 1730119074. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Russell Sean Petrie is physically located?
The Russell Sean Petrie is physically situated at the following address: 22 Corporate Plaza Dr, Newport Beach, CA, 926607901.
What is the area of specialization for Russell Sean Petrie, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell Sean Petrie is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
When did Russell Sean Petrie receive its 1730119074 assignment?
The Russell Sean Petrie was assigned its 1730119074 on 2006-07-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Russell Sean Petrie, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Russell Sean Petrie, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-02-17.
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