Individual
DR. DAVID PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPT #0861, DENVER, CO 80256-0001
(866) 898-7136
(616) 975-9824
Mailing address
PO BOX 346, MESA, CO 81643-0346
(970) 268-5009
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
44370
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27581322
—
CO
01
—
P00337534
RAILROAD
—
01
—
PENDING
CHAMPUS
CO
05
—
T0550
—
UT
Enumeration date
07/21/2006
Last updated
11/08/2007
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