Corwin D. Petty, Md, PA

NPI #1881859593 in Rogers, Arkansas

Provider Information

NPI Number: 1881859593
Entity Type: Organization
Organization Name: Corwin D. Petty, Md, PA
Subpart: Yes (part of a larger organization)
Parent Organization: PETTY MEDICAL CLINIC
Primary Specialty: Family Medicine
Enumeration Date: Jul 22, 2008
Last Updated: Apr 4, 2018

Practice Location

Address: 3201 S MARKET ST STE 105
City: Rogers
State: Arkansas
ZIP Code: 72758-8168
Phone: (479) 254-1005

Authorized Official

Name: DR. CORWIN D PETTY, MD
Title: OWNER / PHYSICIAN
Phone: (479) 254-1005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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