Dr George Petros, DC | |
2724 Aborn Rd, San Jose, CA 95121-1204 | |
(408) 528-7070 | |
(408) 528-8557 |
Full Name | Dr George Petros |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2724 Aborn Rd, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245370899 | NPI | - | NPPES |
77-0540470 | Other | CA | TAX ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC26120 (California) | Primary |
Provider Name | James Petros Md Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336448299 PECOS PAC ID: 0941479216 Enrollment ID: O20110803000651 |
Mailing Address | Practice Location Address |
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Dr George Petros, DC 2724 Aborn Rd, San Jose, CA 95121-1204 Ph: (408) 528-7070 | Dr George Petros, DC 2724 Aborn Rd, San Jose, CA 95121-1204 Ph: (408) 528-7070 |
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