Individual
MATTHEW PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
30016 OLD LINCOLN HWY, WANSHIP, UT 84017-9607
(812) 219-2127
Mailing address
30016 OLD LINCOLN HWY, WANSHIP, UT 84017-9607
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
9116831-2802
UT
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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