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Organization

COMPCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH PETTIT DO (OWNER)
(480) 706-0174
Entity
Organization

Contact information

Practice address
2111 E HIGHLAND AVE, SUITE B425, PHOENIX, AZ 85016-4741
(480) 688-7491
(480) 706-0117
Mailing address
2111 E HIGHLAND AVE, SUITE B425, PHOENIX, AZ 85016-4741
(480) 688-7491
(480) 706-0117

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3344
AZ

Other

Enumeration date
09/24/2015
Last updated
06/20/2018
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