Individual
CARSON WILLIAM PETTINGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 S 1100 E STE A, SALT LAKE CITY, UT 84105-2577
(435) 287-4197
Mailing address
2630 E STRINGHAM AVE APT A309, SALT LAKE CITY, UT 84109-4906
(435) 319-9515
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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