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Individual

DR. LEONARD V. PETRUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MEDICAL DOCTOR

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A52292
CA
2085N0904X
Nuclear Radiology Physician
A52292
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A52292
CA
2085R0204X
Vascular & Interventional Radiology Physician
A52292
CA
2085U0001X
Diagnostic Ultrasound Physician
A52292
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A522920
CA
01
300116805
RAILROAD MEDICARE
CA
Enumeration date
10/21/2005
Last updated
12/17/2025
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