Individual
DR. PETRUSIA ANN HOWANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
520 E BETHANY HOME RD, PHOENIX, AZ 85012-1207
(602) 264-9121
(602) 264-9122
Mailing address
520 E BETHANY HOME RD, PHOENIX, AZ 85012-1207
(602) 264-9121
(602) 264-9122
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0535
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126004
HEALTH NET
AZ
01
—
480032678
PALMETTO
AZ
01
—
5662648
AETNA
AZ
05
—
575483
—
AZ
01
—
861027930
OTHER COMMERCIAL INSURANC
AZ
01
—
AZ0194260
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
07/01/2005
Last updated
07/08/2007
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