Edward P. Petrow JR.
Orthopaedic Surgeon Orthopaedic Trauma Surgeon Pediatric Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon and 2 more
6320 N La Cholla Blvd Ste 200
Tucson
, Arizona 85741-3549
Edward P. Petrow JR.
Orthopaedic Surgeon Orthopaedic Trauma Surgeon Pediatric Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon and 2 more
6320 N La Cholla Blvd Ste 200
Tucson
, Arizona 85741-3549
(520) 784-6109
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Foot and Ankle Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
- Orthopaedic Trauma Surgeon
Languages spoken
- English
Location
First Address
- Edward P. Petrow JR.
- Po Box 31630
- Tucson, AZ
- Zip : 85751-1630
- Fax : (520) 784-6109
- Phone : (520) 784-6200
Second Address
- Edward P. Petrow JR.
- 6320 N La Cholla Blvd Ste 200
- Tucson, AZ
- Zip : 85741-3549
- Fax : (520) 297-3505
- Phone : (520) 382-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 005334 | AZ |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | 005334 | AZ |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 005334 | AZ |
| N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 005334 | AZ |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 005334 | AZ |
| N | 207XX0801X | Orthopaedic Trauma Surgeon | 005334 | AZ |
National Provider Identifier
| NPI | 1326099698 |
|---|---|
| Provider Name | Edward P. Petrow JR. |
| First Address | Tucson, AZ 85751-1630 |
| Second Address | Tucson, AZ 85741-3549 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2006 |
| Last Update Date | 10/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 468643 | (05) | AZ |
| I51127 | (02) | |
| I51127 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.