Individual
HOWARD DAVID PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A104136
CA
207R00000X
Internal Medicine Physician
A104136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
MEDICARE PTAN FOR ALL OFFICE LOCATIONS UNDER BAZ, ALLERGY, ASTHMA &SINUS CENTER
CA
Enumeration date
04/30/2008
Last updated
06/23/2015
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