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Paul J Petruska

Hematology & Oncology

3660 Vista Ave
Saint Louis , Missouri 63110-2540

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Paul J Petruska

Hematology & Oncology

3660 Vista Ave
Saint Louis , Missouri 63110-2540

(314) 977-4440

Write a Review Save Call

Paul J Petruska

Hematology & Oncology

3660 Vista Ave
Saint Louis , Missouri 63110-2540

(314) 977-4440 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Hematology & Oncology

Languages spoken

  • English

Location

3660 Vista Ave Saint Louis , Missouri 63110-2540

First Address

  • Paul J Petruska
  • 3691 Rutger St Provider Enrollment
  • Saint Louis, MO
  • Zip : 63110-2515
  • Phone : (314) 977-4440

Second Address

  • Paul J Petruska
  • 3660 Vista Ave
  • Saint Louis, MO
  • Zip : 63110-2540
  • Fax : (314) 773-1167
  • Phone : (314) 577-8854

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FAQs


Where did Paul J Petruska attend graduate school?

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Where did Paul J Petruska do his residency?

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Where did Paul J Petruska do his fellowship?

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Is Paul J Petruska board certified?

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What type of doctor is Paul J Petruska

Hematology & Oncology

In what state does Paul J Petruska practice in?

Missouri

Where is Paul J Petruska ’s practice located?

3660 Vista Ave , Saint Louis, Missouri, 63110-2540

What is Paul J Petruska ’s gender?

Male

Is Paul J Petruska a sole practitioner?

No

Is Paul J Petruska accepting new patients?

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What languages does Paul J Petruska speak?

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Does Paul J Petruska accept insurance?

Yes, Paul J Petruska accepts insurance

Does Paul J Petruska offers telemedicine?

Paul J Petruska has not indicated if he offers telemedicine

What is Paul J Petruska ’s professional license number?

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What is Paul J Petruska ’s NPI number?

1063423622

Does Paul J Petruska have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RH0003X Hematology & Oncology 31100 MO

National Provider Identifier

NPI 1063423622
Provider Name Paul J Petruska
First Address Saint Louis, MO 63110-2515
Second Address Saint Louis, MO 63110-2540
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 10/08/2006
Last Update Date 18/03/2008

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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