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Individual
SCOTT JAMES PETIT
Active
Individual
SCOTT JAMES PETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
22424
SC
2086S0129X
Vascular Surgery Physician
22424
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
22424
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224242
—
SC
Enumeration date
03/22/2006
Last updated
03/29/2019
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