Individual
EDWARD P. PETROW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6320 N LA CHOLLA BLVD STE 200, TUCSON, AZ 85741-3549
(520) 382-8200
(520) 297-3505
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
005334
AZ
207XP3100X
Pediatric Orthopaedic Surgery Physician
005334
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
005334
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
005334
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
005334
AZ
207XX0801X
Orthopaedic Trauma Physician
005334
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468643
—
AZ
Enumeration date
05/12/2006
Last updated
02/10/2014
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