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Individual

MR. STEVEN J PETIT

Active
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Individual

MR. STEVEN J PETIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD AMC

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G29872
CA
207RI0008X
Hepatology Physician
G29872
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G298720
CA
01
756101173
RAILROAD MEDICARE PTAN
CA
Enumeration date
07/26/2006
Last updated
06/17/2009
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