Individual
JESSICA PETRO-SAKUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 S SANTA FE AVE, SALINA, KS 67401-4144
(785) 452-7742
(785) 452-7256
Mailing address
400 S SANTA FE AVE, SALINA, KS 67401-4144
(785) 452-7742
(785) 452-7256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05-42891
KS
208M00000X
Hospitalist Physician
Primary
05-42891
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201284300A
—
KS
Enumeration date
04/10/2017
Last updated
08/17/2020
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