| Jody Petrunak, | |
|
620 Howard Ave, Altoona, PA 16601-4804 | |
| (814) 889-2351 | |
| Not Available |
| Full Name | Jody Petrunak |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 620 Howard Ave, Altoona, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285093302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN000699 (Pennsylvania) | Primary |
| Provider Name | Upmc Altoona |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487604179 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001053 |
| Provider Name | Upmc Altoona |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437100765 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Petrunak, 620 Howard Ave, Altoona, PA 16601-4804 Ph: () - | Jody Petrunak, 620 Howard Ave, Altoona, PA 16601-4804 Ph: (814) 889-2351 |
Breanna Calhoun, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-2011 | |
Brigid J Dodson, MPH,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3109 Fairway Dr, Altoona, PA 16602 Phone: 814-944-5835 Fax: 814-944-9184 | |
Raymond Jacob Kleckner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-599-1695 | |
Brenda Jane Ridgway, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-3037 | |
Mary Raffetto, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2907 Pleasant Valley Blvd., Altoona, PA 16602 Phone: 814-943-8164 | |
Miss Amanda Blocher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 Valley View Blvd, Altoona, PA 16602 Phone: 814-944-0845 | |
Megan M Koehle, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Avenue, Dietitian's Office, 4th Floor, Altoona, PA 16601 Phone: 814-889-3976 |