NPI 1104919828

Leah D Petrunger, PAC

Practitioner Physician Assistant Princeton, WV

Practice location

Address: 150 Misty Lane, Princeton, WV 24740
Phone: (304) 425-4040
Fax: (304) 425-4041
Mailing address: 300 Hunter Park, Princeton, WV 24740-2533

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 564 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1104919828
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2006
Record last updated: 8 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.