Individual
DAVID LEE PETTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1231 GAMBELL ST, ANCHORAGE, AK 99501-4664
(907) 538-8318
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5386
(907) 538-8318
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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