Individual
MICHAEL DUANE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR, SPOKANE, WA 99204-2307
(509) 474-2072
Mailing address
101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR, SPOKANE, WA 99204-2307
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60367548
WA
367H00000X
Anesthesiologist Assistant
AP60367548
WA
Other
Enumeration date
06/13/2013
Last updated
12/11/2024
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