Individual
DR. BRETT JUSTIN PETTETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804-4268
(417) 820-5610
Mailing address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804-4268
(417) 820-5610
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
2019009470
MO
207XX0801X
Orthopaedic Trauma Physician
MD464204
PA
Other
Enumeration date
04/24/2013
Last updated
08/20/2019
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