Individual
CHARLES ROBERT PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 ANDRIEUX ST STE 106, SONOMA, CA 95476-6920
(707) 931-6485
(707) 581-1766
Mailing address
PO BOX 4489, CARMEL, CA 93921-4489
(707) 931-6485
(707) 581-1766
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A235594
CA
Other
Enumeration date
02/21/2007
Last updated
07/15/2020
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