Individual
JOSHUA E PETRIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, DEPATMENT OF NEONATOLOGY, KANSAS CITY, MO 64108-4619
(816) 234-3592
Mailing address
2401 GILLHAM RD, DEPATMENT OF NEONATOLOGY, KANSAS CITY, MO 64108-4619
(816) 234-3592
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42035
MN
2080N0001X
Neonatal-Perinatal Medicine Physician
04-34019
KS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2006025325
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
923162500
—
MN
Enumeration date
02/10/2006
Last updated
03/17/2018
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