Organization
FLYNN AND PETROSKY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN J PETROSKY M.D. (PHYSICIAN)
(606) 677-9250
Entity
Organization
Contact information
Practice address
340 BOGLE ST, SUITE 104, SOMERSET, KY 42503-2892
(606) 677-9250
Mailing address
340 BOGLE ST, SUITE 104, SOMERSET, KY 42503-2892
(606) 677-9250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65933749
—
KY
Enumeration date
01/12/2007
Last updated
05/26/2010
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