Individual
PAUL J PETROZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RR 5 BOX 20, STATE ROUTE 83, GRUNDY, VA 24614-9611
(276) 523-7938
Mailing address
116 FAIRVIEW ST, GRUNDY, VA 24614-9415
(276) 935-8268
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101237174
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010129231
—
VA
Enumeration date
08/09/2005
Last updated
03/13/2015
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