Individual
PHILIP RUSSO PETROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 541-5000
(913) 541-5625
Mailing address
12200 W 106TH ST STE 325, OVERLAND PARK, KS 66215-2305
(913) 541-6022
(913) 541-5625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0549995
KS
Other
Enumeration date
03/30/2021
Last updated
09/27/2024
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