NPI 1659385516
Petar Vukasin, MD
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
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.