Robert Louis Petrone PH.D., MPH, PA-C

NPI 1053301507 - Physician Assistant - 363A00000X

NPI Details
NPI 1053301507
Gender Male
Enumeration Date 10/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
550 POPE AVE
GENTRY CLINIC MAHC
FORT LEAVENWORTH KS, 66027-2332, US
Phone (913) 684-6601
Fax (913) 684-6128
Business Location
1400 BROOKSIDE DR
NORMAN OK, 73072-6347, US
Phone (405) 366-0978
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Oklahoma
License Number PA322
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According to our database, Dr. Robert Louis Petrone PH.D., MPH, PA-C NPI is 1053301507, taxonomy code is 363A00000X and license number is PA322, license state is located at Oklahoma. Robert Louis Petrone PH.D., MPH, PA-C physically located at 550 Pope Ave, Fort Leavenworth KS, 66027-2332. NPI Number Robert Louis Petrone PH.D., MPH, PA-C has the Individual type.

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1053301507 NPI number is provided on an as is basis without warranty of any kind. 1053301507 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Louis Petrone PH.D., MPH, PA-C are for informational purposes only.