Individual
DR. PAMELA JOAN PETROCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(207) 493-5791
(207) 498-1326
Mailing address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(207) 493-5791
(207) 498-1326
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD21228
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08330226
—
MS
05
—
1423777
—
LA
05
—
2574254
—
OH
Enumeration date
05/20/2006
Last updated
06/29/2016
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