Individual
DR. DENNIS CRAIG PETTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-16665
KS
2085R0202X
Diagnostic Radiology Physician
19053
NE
2085R0202X
Diagnostic Radiology Physician
2002029460
MO
Other
Enumeration date
06/30/2006
Last updated
08/04/2015
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