Gary M Petrus Md Pa

LBN: Gary M Petrus Md Pa
Gary M Petrus Md Pa is an health care organization with primary practice located at 2504 Mccain Blvd Suite 114, North Little Rock AR 72116-7624. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Gary M Petrus Md Pa can be contacted via phone (501) 758-9800, or through Petrus, Gary Michael via phone (501) 758-9800.

Contact Information

Primary practice address
2504 Mccain Blvd Suite 114 North Little Rock AR 72116-7624
Phone: (501) 758-9800
Fax: (501) 758-0199
Website:
Map and Directions
Authorized official contact:
Name: Petrus, Gary Michael Doctor of Medicine (MD)
Phone: (501) 758-9800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X C7318 Arkansas

Profile Details

NPI number 1871666446
LBN Legal business name Gary M Petrus Md Pa
DBA Doing business as
Authorized official Petrus, Gary Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jan 28th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871666446 NPPES
Arkansas MEDICAID 114482001
Arkansas MEDICAID 122380002

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