Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY MICHAEL PETRUS, MD
ActiveMR. GARY MICHAEL PETRUS, MD is a Plastic and Reconstructive Surgery healthcare provider located in N LITTLE ROCK, Arkansas. NPI 1568525806 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · N LITTLE ROCK, AR
Registration Details
- NPI Number
- 1568525806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2006 (19.466075503482 yrs)
- Last Updated
- Jan 25, 2019
- Licenses
-
C7318 (AR)C7318 (AR)
Practice Information
- Address
-
4137 JOHN F KENNEDY BLVD STE AN LITTLE ROCK, AR, 721168230Browse AR providers · Browse ZIP 72116
- Phone
- 5016143052
- Fax
- 5016143057
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.