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Organization
PETTIS PHYSICIAN SERVICES LLC
Active
Organization
PETTIS PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C SCHUMACHER MD (CEO)
(800) 893-9698
Entity
Organization
Contact information
Practice address
601 E 14TH ST, SEDALIA, MO 65301-5972
(660) 826-8833
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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