Individual
DR. PETRA GURTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
229 W BUTE ST, SUITE 800, NORFOLK, VA 23510-1405
(757) 622-1003
(757) 622-1108
Mailing address
229 W BUTE ST, SUITE 800, NORFOLK, VA 23510-1405
(757) 622-1003
(757) 622-1108
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101056357
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004462765
AETNA
VA
01
—
11481
OPTIMA
VA
01
—
1400005733
RAILROAD MEDICARE
VA
01
—
213281
CIGNA
VA
01
—
257818
ANTHEM
VA
01
—
541375516
FIRST HEALTH
VA
05
—
6104916
—
VA
05
—
790556Q
—
NC
Enumeration date
10/03/2006
Last updated
11/20/2009
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