Search › Pennsylvania › 207RG0100X
Vladimir Petorak, MD
NPI 1871575134 · on the registry since 2005
Practice
- Address
- 90 Medical Park Dr
Lewisburg, PA 17837 - Phone
- (570) 524-2722
- Fax
- (570) 524-0362
- Organisation at this address
- Cpgi Endoscopy Center, Llc
Evangelical Community Hospital
Central Penn Gastroenterology AssociatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 174400000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-09
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