Robert H and Teresita S Petty

NPI #1306913868 in Effingham, Illinois

Provider Information

NPI Number
1306913868
Entity Type
Organization
Organization Name
Robert H and Teresita S Petty
Primary Specialty
Anesthesiology
Enumeration Date
Nov 29, 2006
Last Updated
Feb 11, 2008

Practice Location

Address
904 W TEMPLE AVE
ZIP Code
62401-2178
Phone
(217) 342-1234

Authorized Official

Name
ROBERT H PETTY, MD
Title
PRESIDENT
Phone
(217) 342-1234

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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