Individual
GEORGE G PETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3231 S NATIONAL AVE, SUITE 170, SPRINGFIELD, MO 65807-7304
(417) 885-0830
(417) 888-5608
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003014205
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200612604
—
MO
01
—
205512
BCBS
—
01
—
721981
HEALTHLINK
—
01
—
P00453838
RAILROAD MEDICARE
—
Enumeration date
08/03/2006
Last updated
10/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us