| Dr Joseph Louis Petrusek, MD, PC | |
|
710 Sunset Dr, Ste. D, La Grande, OR 97850-1200 | |
| (541) 963-8643 | |
| (541) 963-5845 |
| Full Name | Dr Joseph Louis Petrusek |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 710 Sunset Dr, La Grande, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346297793 | NPI | - | NPPES |
| 009100000 | Other | OR | BLUE CROSS PROVIDER NUMBE |
| 041913293 | Other | OR | RAILROAD MEDICARE NUMBER |
| 161026 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD09444 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Louis Petrusek, MD, PC Po Box 1123, La Grande, OR 97850-6123 Ph: (541) 963-8643 | Dr Joseph Louis Petrusek, MD, PC 710 Sunset Dr, Ste. D, La Grande, OR 97850-1200 Ph: (541) 963-8643 |
Steven K Pinther, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 | |
Mr. Gerry F Funk, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 |