DR. Wendell E Petty, M.D.

NPI #1457312308 in Idaho Falls, Idaho

Provider Information

NPI Number: 1457312308
Entity Type: Individual
Name: DR. Wendell E Petty, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Allergy & Immunology
Credential: M.D.
Enumeration Date: Mar 30, 2006
Last Updated: Jun 21, 2019

Practice Location

Address: 3422 S 15TH E
City: Idaho Falls
State: Idaho
ZIP Code: 83404-8262
Phone: (208) 529-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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