Search › Pennsylvania › 363A00000X
David Petkus, PA-C
NPI 1740878669 · on the registry since 2021
Practice
- Address
- 1526 Martin St
State College, PA 16803 - Phone
- (814) 237-0001
- Organisation at this address
- Oasis Lifecare Llc
Tussey Mountain Foot & Ankle Specialists, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania