Robert Louis Petrone in Fort Leavenworth - Physician Assistant

Robert Louis Petrone - NPI 1053301507

Robert Louis Petrone is a Physician Assistant in Fort Leavenworth, Kansas. Robert Louis Petrone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Louis Petrone is 1053301507. The last update date is 2007-07-08.

Robert Louis Petrone's current location address is 550 Pope Ave, Fort Leavenworth, Kansas. You can contact this provider via phone number 9136846601 and fax number 9136846128. The mailing address for Robert Louis Petrone is 550 Pope Ave, Fort Leavenworth, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Louis Petrone
Address 550 Pope Ave, Fort Leavenworth, Kansas
Phone Number 9136846601
Fax Number 9136846128
Sole Proprietor X
Credentials PH.D., MPH

NPI Number Detail

NPI Number 1053301507
Provider Enumeration Date 2005-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 550 Pope Ave
City Fort Leavenworth
State Kansas (KS)
Post Code 660272332
Phone Number 9136846601
Fax Number 9136846128

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA322
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Robert Louis Petrone

What is the unique provider identifier assigned to Robert Louis Petrone?

The Robert Louis Petrone has been issued the NPI (National Provider Identifier) 1053301507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Robert Louis Petrone?

The Robert Louis Petrone is situated at 550 Pope Ave, in the city of Fort Leavenworth, state of KS, with the zip code 660272332.

What is Robert Louis Petrone's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Robert Louis Petrone's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Robert Louis Petrone receive the assignment of its 1053301507 from the Centers for Medicare & Medicaid Services?

The Robert Louis Petrone was issued its 1053301507 by the Centers for Medicare & Medicaid Services on 2005-10-26.

As of what date were the details pertaining to Robert Louis Petrone last refreshed?

The information related to the Robert Louis Petrone, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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