Individual provider · Type 1 NPI

Philip Russo Petrosky, DO

Internal Medicine Physician · Overland Park, KS

NPI number 1114505419 Active

Practice location

10500 Quivira Rd
Overland Park, KS 66215-2306

Fax (913) 541-5625

Mailing address

12200 W 106th St Ste 325
Overland Park, KS 66215-2305

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X0549995 (KS)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1114505419

Philip Russo Petrosky, DO's National Provider Identifier is 1114505419, issued on Mar 30, 2021. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Overland Park, KS. The record was last updated on Sep 27, 2024.