Individual
DR. ORLANDO PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, STE 5S50, SAINT LOUIS, MO 63110-1002
(314) 454-6165
(314) 454-2381
Mailing address
660 S EUCLID AVE, C B 8234, SAINT LOUIS, MO 63110-1010
(314) 454-6165
(314) 454-2381
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2016010417
MO
Other
Enumeration date
08/13/2015
Last updated
11/15/2016
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