Individual
DR. HEATHER M PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT, PETERSBURG, VA 23805-9274
(804) 765-5529
Mailing address
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT, PETERSBURG, VA 23805-9274
(804) 765-5529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101249421
VA
207P00000X
Emergency Medicine Physician
A108901
CA
Other
Enumeration date
10/06/2008
Last updated
07/01/2014
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