Organization
WILLIAM ALFRED PETTIT III MD
Active
Other names
UNIQUE OPTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ALFRED PETTIT III (OWNER)
(541) 962-1025
Entity
Organization
Contact information
Practice address
1404 GEKELER LN, UNIQUE OPTIQUE, LA GRANDE, OR 97850-3368
(541) 962-6266
Mailing address
1404 GEKELER LN, UNIQUE OPTIQUE, LA GRANDE, OR 97850-3368
(541) 962-6266
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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