Individual provider · Type 1 NPI
John C. Petricciani, MD
General Practice Physician · Palm Springs, CA
NPI number
1447496948
Active
Practice location
1345 Ladera Cir
Palm Springs, CA 92262-4122
Mailing address
PO Box 1925
Palm Springs, CA 92263-1925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | GFE16109 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1447496948
John C. Petricciani, MD's National Provider Identifier is 1447496948, issued on Jan 5, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Palm Springs, CA. The record was last updated on Jan 5, 2009.