Charles G Petrunin II M.D.

NPI 1881788099 - Internal Medicine - 207RH0003X

NPI Details
NPI 1881788099
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
875 OAK ST SE
SUITE 4030
SALEM OR, 97301-3975, US
Phone (503) 561-6444
Fax (503) 561-6440
Business Location
875 OAK ST SE
SUITE 4030
SALEM OR, 97301-3975, US
Phone (503) 561-6444
Fax (503) 561-6440
Toxanomy
Taxonomy Code 207RH0003X
License State Oregon
License Number MD21956
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According to our database, Dr. Charles G Petrunin II M.D. NPI is 1881788099, taxonomy code is 207RH0003X and license number is MD21956, license state is located at Oregon. Charles G Petrunin II M.D. physically located at 875 Oak St Se, Salem OR, 97301-3975. NPI Number Charles G Petrunin II M.D. has the Individual type.

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1881788099 NPI number is provided on an as is basis without warranty of any kind. 1881788099 is maintained by the National Plan & Provider Enumeration System. The contents of Charles G Petrunin II M.D. are for informational purposes only.