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Individual

NORMAN CHARLES PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-1729
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5146
AK
207Q00000X
Family Medicine Physician
7197A
WY
207Q00000X
Family Medicine Physician
M8408
ID

Other

Enumeration date
06/27/2006
Last updated
03/10/2025
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