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Mr. Gary Michael Petrus, MD
Plastic and Reconstructive Surgery Physician in N Little Rock, Arkansas
NPI 1568525806

Gary Michael Petrus is a Plastic and Reconstructive Surgery Physician based in Little Rock, AR and is specialized in Plastic and Reconstructive Surgery. Gary Michael Petrus practices in N Little Rock, AR and has the professional credentials of MD. The NPI Number for Gary Michael Petrus is 1568525806 and holds a License No. C7318 (Arkansas).

The current practice location address for Gary Michael Petrus is 4137 John F Kennedy Blvd Ste A, N Little Rock, AR and can be reached out via phone at 501-614-3052 and via fax at 501-614-3057.

Location: 4137 John F Kennedy Blvd Ste A, N Little Rock, AR, 72223-0011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568525806
Provider Name
Gary Michael Petrus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4137 John F Kennedy Blvd Ste A, N Little Rock, AR, 72223-0011
Phone Number
501-614-3052
Fax Number
501-614-3057
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114482001 05 AR
institution
Provider Business Practice Location Address Details
Address
4137 John F Kennedy Blvd Ste A
City
N Little Rock
State
Arkansas
Zip
72116-8230
Phone Number
501-614-3052
Fax Number
501-614-3057
person
Provider Business Mailing Address Details
Address
4137 John F Kennedy Blvd Ste A
City
N Little Rock
State
Arkansas
Zip
72116-8230
Phone Number
501-614-3052
Fax Number
501-614-3057
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
C7318 (Arkansas)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
C7318 (Arkansas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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