Bruce a Petitt M.d. P.c.

NPI #1013077205 in Tuscaloosa, Alabama

Provider Information

NPI Number: 1013077205
Entity Type: Organization
Organization Name: Bruce a Petitt M.d. P.c.
Primary Specialty: Pediatrics
Enumeration Date: Dec 11, 2006
Last Updated: Dec 14, 2010

Practice Location

Address: 1060 FAIRFAX PARK
Address 2: SUITE C
City: Tuscaloosa
State: Alabama
ZIP Code: 35406-2806
Phone: (205) 752-7337

Authorized Official

Name: DR. BRUCE A PETITT, M.D.
Title: PHYSICIAN OWNER
Phone: (205) 752-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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