Individual
DAVID CHARLES PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
201501886
NC
208000000X
Pediatrics Physician
Primary
201501886
NC
2080P0203X
Pediatric Critical Care Medicine Physician
2015-01886
NC
2080P0203X
Pediatric Critical Care Medicine Physician
70934
FL
2080P0203X
Pediatric Critical Care Medicine Physician
ME91053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270801900
—
FL
Enumeration date
08/05/2006
Last updated
08/07/2018
Update your record
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