Gary Michael Petrus in Little Rock - Plastic Surgery Within The Head And Neck
Gary Michael Petrus - NPI 1568525806
Gary Michael Petrus is a Plastic Surgery Within The Head And Neck in Little Rock, Arkansas. Gary Michael Petrus practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Gary Michael Petrus is 1568525806. The last update date is 2019-01-25.
Gary Michael Petrus's current location address is Po Box 241580, Little Rock, Arkansas. You can contact this provider via phone number 5016143052 and fax number 5016143057. The mailing address for Gary Michael Petrus is Po Box 241580, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Michael Petrus |
|---|---|
| Address | Po Box 241580, Little Rock, Arkansas |
| Phone Number | 5016143052 |
| Fax Number | 5016143057 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568525806 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2019-01-25 |
Provider Mailing Address Detail
| Address | Po Box 241580 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722230011 |
| Phone Number | 5016143052 |
| Fax Number | 5016143057 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | C7318 |
|
Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114482001 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gary Michael Petrus by the Centers for Medicare & Medicaid Services?
The Gary Michael Petrus has been issued the NPI (National Provider Identifier) 1568525806. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gary Michael Petrus's physical address?
The Gary Michael Petrus is physically located at Po Box 241580, in the city of Little Rock, AR, with the postal code 722230011.
What is the Gary Michael Petrus's area of specialization and corresponding taxonomy classification?
The Gary Michael Petrus's specialty field is Plastic Surgery Within The Head And Neck, and it falls under the taxonomy code 2082S0099X, which categorizes healthcare providers based on their specialties.
When did Gary Michael Petrus receive its 1568525806 assignment?
The Gary Michael Petrus was assigned its 1568525806 on 2006-12-18, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Gary Michael Petrus most recently updated or revised?
The details related to Gary Michael Petrus, including its address, specialty, and other relevant information, were last updated or revised on 2019-01-25.
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