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Individual

DR. ROBERT LOUIS PETRONE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D., MPH, PA-C

Contact information

Practice address
550 POPE AVE, GENTRY CLINIC MAHC, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6601
(913) 684-6128
Mailing address
1400 BROOKSIDE DR, NORMAN, OK 73072-6347
(405) 366-0978

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA322
OK

Other

Enumeration date
10/26/2005
Last updated
07/08/2007
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