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Individual
ROBERT RYAN PETTIT
Active
Individual
ROBERT RYAN PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP129992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354942004
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
P01769553
RAIL ROAD MEDICARE
TX
Enumeration date
01/18/2016
Last updated
04/27/2026
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