Individual
DR. JOHN C PETRICCIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1345 LADERA CIR, PALM SPRINGS, CA 92262-4122
(760) 416-2686
Mailing address
PO BOX 1925, PALM SPRINGS, CA 92263-1925
(760) 416-2686
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GFE16109
CA
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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