Individual provider · Type 1 NPI

Russell Sean Petrie, MD

Sports Medicine (Orthopaedic Surgery) Physician · Newport Beach, CA

NPI number 1730119074 Active

Practice location

22 Corporate Plaza Dr
Newport Beach, CA 92660-7901

Fax (949) 630-4935

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	G85402 (CA)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1730119074

Russell Sean Petrie, MD's National Provider Identifier is 1730119074, issued on Jul 3, 2006. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Newport Beach, CA. The record was last updated on Feb 17, 2020.