DR. Jacqueline Bernadine Petravage M.D.

  • NPI 1104861079
According to our database, the NPI number for DR. Jacqueline Bernadine Petravage M.D. is 1104861079 and activated since 17 years ago. DR. Jacqueline Bernadine Petravage M.D. is an individual provider who specializes in Psychiatry, and the primary practice location is Veteran's Hospital, 500 Foothill Blvd, Salt Lake City, UT 84148. You can also contact DR. Jacqueline Bernadine Petravage M.D. via telephone number is (801) 582-1565. Provider NPI information was last updated on 07/08/2007.

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Overview of DR. Jacqueline Bernadine Petravage M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/17/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 2084P0800X
  • Specialty: Psychiatry
  • License Number: 1664161205
  • License State: UT

Provider Mailing Address

  • Address: 500 Foothill Blvd
    Salt Lake City, UT 84148
  • Phone: 801-582-1565
  • Fax: 801-584-2544

Provider Practice Location

  • Address: Veteran's Hospital, 500 Foothill Blvd
    Bldg 47
    Salt Lake City, UT 84148
  • Phone: 801-582-1565
  • Fax: 801-584-2544

Scope of Practice

  • Taxonomy Code: 2084P0800X
  • Specialty: Psychiatry
  • License Number: 1664161205
  • License State: UT
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jacqueline Bernadine Petravage M.D.?
  • A: The npi number for DR. Jacqueline Bernadine Petravage M.D. is 1104861079.
  • Q: What are DR. Jacqueline Bernadine Petravage M.D.'s specialties?
  • A: DR. Jacqueline Bernadine Petravage M.D.'s specialties are Psychiatry and different specialities.
  • Q: What is the medical license for DR. Jacqueline Bernadine Petravage M.D.?
  • A: The medical license number for DR. Jacqueline Bernadine Petravage M.D. is 1664161205 and issued in UT in USA.
  • Q: Where is DR. Jacqueline Bernadine Petravage M.D. practice location?
  • A: DR. Jacqueline Bernadine Petravage M.D. is practicing at Veteran's Hospital, 500 Foothill Blvd, Salt Lake City, UT 84148.
  • Q: How to contact DR. Jacqueline Bernadine Petravage M.D.?
  • A: You can contact DR. Jacqueline Bernadine Petravage M.D. via 801-582-1565.
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