Individual
JOSHUA NASON PETTENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-3100
(570) 808-2539
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-3100
(570) 808-2539
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD489040
PA
Other
Enumeration date
06/22/2021
Last updated
07/15/2025
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