# WILLIAM CHRISTOPHER PETTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700355237
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | — | NULL | — |
| 363A00000X | Physician Assistant | 5058 | OK | Yes |

## Other

- **Enumeration date:** 11/14/2018
- **Last updated:** 03/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1158126 | NCCPA IDENTIFICATION NUMBER | — |