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Organization
BRUCE A PETITT M.D. P.C.
Active
Organization
BRUCE A PETITT M.D. P.C.
Active
Other names
West Alabama Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A PETITT M.D. (PHYSICIAN OWNER)
(205) 752-7337
Entity
Organization
Contact information
Practice address
1060 FAIRFAX PARK, SUITE C, TUSCALOOSA, AL 35406-2806
(205) 752-7337
(205) 752-8013
Mailing address
1060 FAIRFAX PARK, SUITE C, TUSCALOOSA, AL 35406-2806
(205) 752-7337
(205) 752-8013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104775
—
AL
Enumeration date
12/11/2006
Last updated
12/14/2010
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