William Alfred Pettit III MD

NPI #1114338217 in La Grande, Oregon

Provider Information

NPI Number
1114338217
Entity Type
Organization
Organization Name
William Alfred Pettit III MD
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 13, 2014
Last Updated
May 13, 2014

Practice Location

Address
1404 GEKELER LN
Address 2
UNIQUE OPTIQUE
State
Oregon
ZIP Code
97850-3368
Phone
(541) 962-6266

Authorized Official

Name
MR. WILLIAM ALFRED PETTIT III
Title
OWNER
Phone
(541) 962-1025

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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