NPI
David James Petrik
NPI 1407150931
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- O.D.
- Type
- Individual
- Enumeration date
- 2010-12-23
- Last updated
- 2016-02-18
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Specialties
Licenses
- License PA
- OEG002563
Location
- Practice location
- Navajo Route 4, Pinon Health Center
- City
- Pinon AZ
- Postal code
- 86510
- Phone
- (928) 725-3220
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Pinon, AZ. 54 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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