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Individual

BRIAN D PETRARCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1211 VIRGINIA ST, GREENSBORO, NC 27401-1313
(336) 275-0927
Mailing address
300 W NORTHWOOD ST, GREENSBORO, NC 27401-1324
(336) 275-0927
(336) 275-4834

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102081
NC

Other

Enumeration date
02/02/2006
Last updated
08/25/2021
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