Individual
ANTONIO LAWRENCE PETRALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3826
(636) 332-8228
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2025030555
MO
Other
Enumeration date
04/03/2020
Last updated
09/16/2025
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