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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467419317 NPPES
Kansas MEDICAID 100147450A
Kansas MEDICAID 203725403

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