Pettis Emergency Group LLC

NPI #1578865325 in Sedalia, Missouri

Provider Information

NPI Number: 1578865325
Entity Type: Organization
Organization Name: Pettis Emergency Group LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 30, 2010
Last Updated: Jan 14, 2016

Practice Location

Address: 601 E 14TH ST
City: Sedalia
State: Missouri
ZIP Code: 65301-5972
Phone: (660) 826-8833

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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