DR. Waymond Jay Pettit, M.D.

NPI #1679720726 in Decatur, Illinois

Provider Information

NPI Number: 1679720726
Entity Type: Individual
Name: DR. Waymond Jay Pettit, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Aug 20, 2008
Last Updated: Aug 20, 2008

Practice Location

Address: 3620 S TAYLOR RD
City: Decatur
State: Illinois
ZIP Code: 62521-9015
Phone: (217) 454-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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