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Individual

ROBERT T PETTY

Active
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Individual

ROBERT T PETTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO00001542
WA
282N00000X
General Acute Care Hospital
20A 4256
CA
282N00000X
General Acute Care Hospital
OP1542
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0209144
LIWA
WA
01
3075PE
BSWA
WA
05
8214223
WA
Enumeration date
06/07/2006
Last updated
01/28/2013
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