Pettett, Philip Gary
Pettett, Philip Gary is an individual health care provider with primary practice located at 8540 N Arnold Palmer Dr , Tucson AZ 85742-9595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Pettett, Philip Gary can be contacted via phone (816) 206-0397.Contact Information
Primary practice address
8540 N Arnold Palmer Dr
Tucson AZ 85742-9595
Phone: (816) 206-0397
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 102961 | Missouri |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 04-24446 | Kansas |
Profile Details
| NPI number | 1467419317 |
|---|---|
| LBN Legal business name | Pettett, Philip Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jan 7th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467419317 | NPPES |
| Kansas | MEDICAID | 100147450A | |
| Kansas | MEDICAID | 203725403 |
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