Individual
DR. ANTHONY BEDEAR PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MARSHALL ST, SUITE 500, JACKSON, MS 39202-1651
(601) 948-1411
(601) 948-0090
Mailing address
501 MARSHALL ST, SUITE 500, JACKSON, MS 39202-1651
(601) 948-1411
(601) 948-0090
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
05828
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000017867
—
MS
Enumeration date
08/20/2006
Last updated
11/04/2009
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