Individual
PETER ALLAN PETRUKITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1901 S CEDAR ST STE 301, TACOMA, WA 98405-2302
(253) 572-7320
Mailing address
1901 S CEDAR ST STE 301, TACOMA, WA 98405-2302
(253) 572-7320
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60396780
WA
Other
Enumeration date
11/13/2013
Last updated
05/06/2016
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