Individual
MR. DAVID JOSEPH PETKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1526 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 237-0001
Mailing address
411 PARK LN, STATE COLLEGE, PA 16803-1439
(517) 270-0951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062264
PA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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