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Individual

DR. RALPH ANTHONY PETRARCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2131 RIVER ROAD, NORTH APOLLO, PA 15673
(724) 478-1501
(724) 478-1552
Mailing address
PO BOX 143, VANDERGRIFT, PA 15690-0143
(724) 327-0040
(724) 327-0041

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC-005141-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PE736288
HIGHMARK PROVIDER NUMBER
PA
Enumeration date
03/15/2007
Last updated
07/08/2007
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