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Gus Petrogeorge

NPI 1306210232 · on the registry since 2015

Practice

Address
960 Century Dr
Mechanicsburg, PA 17055
Phone
(888) 558-2559
Organisation at this address
Diakon Family Life Services
Diakon Social Luthern Ministries
Diakon Lutheran Social Ministries
Diakon Lutheran Social Ministries
Diakon Lutheran Social Ministries
Inferred from a shared address, not stated in the registry.
Clinicians at this address
135

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania