Individual
PATRICIA HARPER PETROZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202555000
—
WV
01
—
50086617
RR MEDICARE
—
05
—
5775621
—
VA
01
—
63976
MEDCOST
—
01
—
67370
BCBS
—
01
—
7326724
AETNA
—
01
—
8492
PARTNERS
—
05
—
8967370
—
NC
05
—
Q28073
—
SC
Enumeration date
12/13/2005
Last updated
08/18/2010
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