Individual provider · Type 1 NPI

Carmen M. Petrus, P.A.

Medical Physician Assistant · Anaheim, CA

NPI number 1467458455 Active

Practice location

1211 W La Palma Ave, Ste 502
Anaheim, CA 92801-2815

Fax (714) 776-5632

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA14772 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1467458455

Carmen M. Petrus, P.A.'s National Provider Identifier is 1467458455, issued on Jun 23, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Anaheim, CA. The record was last updated on Apr 21, 2011.