Mark A. Petroff, Md Pc in Lake Oswego - Plastic Surgery Within The Head And Neck
Mark A. Petroff, Md Pc - NPI 1144365941
Mark A. Petroff, Md Pc is a Plastic Surgery Within The Head And Neck in Lake Oswego, Oregon. Mark A. Petroff, Md Pc practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Mark A. Petroff, Md Pc is 1144365941. The last update date is 2020-08-22.
Mark A. Petroff, Md Pc's current location address is 17720 Jean Way, Lake Oswego, Oregon. You can contact this provider via phone number 5036354886 and fax number 5036351655. The mailing address for Mark A. Petroff, Md Pc is 17720 Jean Way, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark A. Petroff, Md Pc |
|---|---|
| Address | 17720 Jean Way, Lake Oswego, Oregon |
| Phone Number | 5036354886 |
| Fax Number | 5036351655 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC ADM |
|---|---|
| Authorized Official Name | Bradley Lee Krista |
| Telephone Number | 5036071300 |
NPI Number Detail
| NPI Number | 1144365941 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17720 Jean Way |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 970355574 |
| Phone Number | 5036354886 |
| Fax Number | 5036351655 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
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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 |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mark A. Petroff, Md Pc?
The Mark A. Petroff, Md Pc has been issued the NPI (National Provider Identifier) 1144365941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mark A. Petroff, Md Pc's physical address?
The Mark A. Petroff, Md Pc is physically located at 17720 Jean Way, in the city of Lake Oswego, OR, with the postal code 970355574.
What is Mark A. Petroff, Md Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark A. Petroff, Md Pc is Plastic Surgery Within The Head And Neck, and the taxonomy classification code that categorizes this area of expertise is 2082S0099X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144365941 to Mark A. Petroff, Md Pc?
The Centers for Medicare & Medicaid Services assigned the 1144365941 to Mark A. Petroff, Md Pc on 2007-02-20.
As of what date were the details related to Mark A. Petroff, Md Pc most recently updated or revised?
The information pertaining to Mark A. Petroff, Md Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.