Individual
WILLIAM J PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2146
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174060C
—
OK
Enumeration date
03/27/2006
Last updated
07/09/2008
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