TRAVIS G PETRICEK

ALBEMARLE PHYSICIAN SERVICES- SENTARA INC

Dr TRAVIS G PETRICEK is a male medical professional, specializing in General Surgery. He graduated in 2004 from University Of Texas Medical School At Houston.

Contact

ALBEMARLE PHYSICIAN SERVICES- SENTARA INC

1177 N RD ST
ELIZABETH CITY
NC
279093388

Tel: 2523842560

TRAVIS G PETRICEK Information

Npi 1558546598
Pac Id 2961553458
Professional Enrollment Id I20090623000486
Last Name PETRICEK
First Name TRAVIS
Middle Name G
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year 2004
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALBEMARLE PHYSICIAN SERVICES- SENTARA INC
Group Practice Pac Id 8729139852
Number Of Group Practice Members 34
Line 1 Street Address 1177 N RD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ELIZABETH CITY
State NC
Zip Code 279093388
Phone Number 2523842560
Hospital Affiliation Ccn 1 340109
Hospital Affiliation Lbn 1 SENTARA ALBEMARLE MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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