Individual
GAIL A PETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5090
Mailing address
ONE VIRGINIA AVENUE, SUITE 201, PROVIDENCE, RI 02905
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD09942
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006721
—
RI
Enumeration date
04/28/2006
Last updated
10/26/2023
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