DR. Brian John Petracca, O.D.

NPI #1457502221 in Deming, New Mexico

Provider Information

NPI Number: 1457502221
Entity Type: Individual
Name: DR. Brian John Petracca, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 9, 2008
Last Updated: Apr 25, 2023

Practice Location

Address: 1515 S 8TH ST
City: Deming
State: New Mexico
ZIP Code: 88030-4940
Phone: (575) 544-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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