Individual
JOSHUA VAN PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3024 STADIUM BLVD, JONESBORO, AR 72401-7415
(501) 227-0700
(501) 227-0744
Mailing address
2024 ARKANSAS VALLEY DR, SUITE 202, LITTLE ROCK, AR 72212-4166
(501) 227-0700
(501) 227-0744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R69821
AR
Other
Enumeration date
05/16/2010
Last updated
05/16/2010
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