Individual
CAMERON PETRO-SAKUMA
Active
Individual
CAMERON PETRO-SAKUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-42889
KS
208M00000X
Hospitalist Physician
05-42889
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201284360A
—
KS
Enumeration date
04/10/2017
Last updated
07/22/2020
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