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Individual

JOHN PETCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5828
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3155
(412) 359-3483

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.417077
OH
163WC0200X
Critical Care Medicine Registered Nurse
RN.680795
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN680795
PA

Other

Enumeration date
11/02/2020
Last updated
08/23/2022
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