Organization
DANA PETRUS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA C PETRUS M.D. (PRESIDENT)
(760) 242-7770
Entity
Organization
Contact information
Practice address
18031 HWY 18, SUITE B, APPLE VALLEY, CA 92307
(760) 242-7770
(760) 242-7760
Mailing address
18031 HWY 18, SUITE B, APPLE VALLEY, CA 92307-0000
(760) 242-7770
(760) 242-7760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A79858
CA
Other
Enumeration date
11/17/2006
Last updated
07/22/2009
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