Individual
ROBERT H PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 W TEMPLE AVE, EFFINGHAM, IL 62401-2178
(217) 342-1234
(816) 461-6586
Mailing address
PO BOX 1660, INDEPENDENCE, MO 64055-0660
(816) 461-8288
(816) 461-6586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
03/20/2006
Last updated
11/05/2007
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