| Doctor Name: | ROBERT T. PETRUZZO |
| NPI Number: | 1578615936 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 20A4255 |
| Business Practice Address: | 4405 Vandever Ave San Diego, CA - 921203315 |
| Business Phone Number: | 6195285000 |
| Business Fax Number: | |
| Mailing Address: | 1153 Pine Dr, EL CAJON |
| State: | CA |
| Postal Code: | 920207248 |
| Phone Number: | 0000000000 |
| Fax Number: | 0000000000 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 20A4255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |