Individual
MR. ANTHONY PETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5498
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 350-3703
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4010953
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2023
Last updated
10/24/2023
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