Individual
DR. JAMES MICHAEL PETKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6716 ARLINGTON BLVD, FALLS CHURCH, VA 22042-2105
(703) 533-1900
(703) 532-3332
Mailing address
6716 ARLINGTON BLVD, FALLS CHURCH, VA 22042-2105
(703) 533-1900
(703) 532-3332
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000682
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480005209
RAILROAD MEDICARE NUMBER
VA
Enumeration date
01/09/2007
Last updated
01/28/2008
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