Individual
DR. CHRISTINE ELIZABETH PETTEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
300 W LINCOLN ST, 102, BELLEVILLE, IL 62220-1987
(618) 234-2120
Mailing address
300 W LINCOLN ST, 102, BELLEVILLE, IL 62220-1987
(618) 234-9705
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2013039522
MO
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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