Individual
DAVID AARON PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 529-9292
(208) 523-2397
Mailing address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 529-9292
(208) 523-2397
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
DO0000002408
TN
207KA0200X
Allergy Physician
Primary
O-0796
ID
Other
Enumeration date
10/01/2009
Last updated
06/21/2019
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