Petersburg, Gregory Wayne

Petersburg, Gregory Wayne is an sole proprietor health care provider with primary practice located at 10371 N Oracle Rd Suite 205, Oro Valley AZ 85737-9392. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Petersburg, Gregory Wayne can be contacted via phone (520) 229-1900.

Contact Information

Primary practice address
10371 N Oracle Rd Suite 205 Oro Valley AZ 85737-9392
Phone: (520) 229-1900
Fax: (520) 742-2900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 3714 Arizona

Profile Details

NPI number 1225167281
LBN Legal business name Petersburg, Gregory Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225167281 NPPES
Arizona Other 3714 AZ MEDICAL LICENSE

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