Whalio Doctors

NPI 1659385516

Petar Vukasin, MD

Practitioner Colon & Rectal Surgery Physician Glendale, CA

Practice location

Address
222 W Eulalia St Suite 100a, Glendale, CA 91204-2849
Phone
(818) 244-8161
Fax
(818) 244-8161

Registered specialties

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence G74237 (CA)

Registry record

NPI
1659385516
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Jul 2006
Record last updated
18 Nov 2022

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.