Individual
DR. EUGENE FRANCIS PETRILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
390 S MAIN ST STE 201, ROCKY MOUNT, VA 24151-1767
(540) 484-4800
(540) 484-4847
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102210035
VA
207Q00000X
Family Medicine Physician
34004170P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0616653
MEDICARE ID
OH
05
—
0748927
—
OH
01
—
PE0616652
MEDICARE ID
OH
Enumeration date
11/03/2005
Last updated
04/28/2026
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