OrganizationActive
Gary M Petrus MD PA
NPI 1871666446 · Plastic and Reconstructive Surgery Physician · North Little Rock, AR
Provider details
- NPI number
- 1871666446
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Gary Petrus, President
- License
- C7318 (AR)
Practice location
2504 Mccain Blvd
Suite 114
North Little Rock, AR 72116-7624
Phone: (501) 758-9800
Fax: (501) 758-0199
Mailing address
2504 Mccain Blvd
North Little Rock, AR 72116-7624
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2011-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.