Individual
DAMON C PETTIGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11623 N 40TH WAY, PHOENIX, AZ 85028-2216
(480) 299-8539
Mailing address
11623 N 40TH WAY, PHOENIX, AZ 85028-2216
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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