Individual
CLAIR L. PETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4707 GREENLEAF CT, SUITE A, MODESTO, CA 95356-8733
(209) 338-1550
(209) 545-2404
Mailing address
4707 GREENLEAF CT, SUITE A, MODESTO, CA 95356-8733
(209) 338-1550
(209) 545-2404
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G29874
CA
Other
Enumeration date
08/04/2006
Last updated
08/08/2012
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