Individual
CHRISTOPHER JAMES PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 ORTHOPEDIC WAY, MORGANTOWN, WV 26505-1240
(304) 599-0720
Mailing address
PO BOX 327, FARMINGTON, WV 26571-0327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2545
WV
363A00000X
Physician Assistant
2947
WV
Other
Enumeration date
09/12/2021
Last updated
08/18/2023
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