Virginia Board of Medicine Practitioner Information

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John Charles DePetrillo Jr., MD

LICENSE # 0101253272
 
Issue Date: 1/17/2013
Expiration Date: 7/31/2024
Status: Current Active


General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.


Primary Practice Address
Last Updated 7/21/2022
Advanced ICU Care
999 Executive Pkwy
Ste 210
St. Louis, MO 63141
Phone: 314-514-6005
Fax: 866-497-1239

Location Details

  • Practitioner spends 100% of time at this location.
  • Days that practitioner sees patients at this location:
    None


Years in Active Clinical Practice
Last Updated 7/21/2022
Years in Active Clinical Practice Inside US/Canada: 7
Medicaid
Last Updated 7/21/2022
Does Not Participate in the Virginia Medicaid program
Is not accepting new Virginia Medicaid patients
Virginia Hospital Affiliations
Last Updated 7/21/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 7/21/2022
(St. Louis,MO) Advanced ICU Care