Petrie, Russell Sean
Petrie, Russell Sean is an individual health care provider with primary practice located at 22 Corporate Plaza Dr , Newport Beach CA 92660-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Petrie, Russell Sean can be contacted via phone (949) 722-7038.Contact Information
Primary practice address
22 Corporate Plaza Dr
Newport Beach CA 92660-7901
Phone: (949) 722-7038
Fax: (949) 630-4935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G85402 | California |
Profile Details
| NPI number | 1730119074 |
|---|---|
| LBN Legal business name | Petrie, Russell Sean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Feb 17th, 2020 - about 5 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.
Popular Providers
-
Labovitch, Ryan S
1401 Avocado Ave Suite 307, Newport Beach CA 92660-7720 -
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405 -
Gerken, Andrew Paul
22 Corporate Plaza Dr , Newport Beach CA 92660-7901 -
Isbell, William M
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Mashoof, Afshin Allen
19066 Magnolia St , Huntington Beach CA 92646-2232 -
Thomas, Bradley Macgregor
400 S Sepulveda Blvd Suite 200, Manhattan Beach CA 90266-6814 -
Afra, Robert
1251 Via Mil Cumbres , Solana Beach CA 92075-9124 -
Midland, Ashley Marie
22 Corporate Plaza Dr , Newport Beach CA 92660-7985