Individual
DR. WILLIAM B PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.AC, EMAP
Contact information
Practice address
83 MAIKAI STREET, HILO, HI 96720
(808) 327-9355
(808) 443-0405
Mailing address
475 KINOOLE STREET, #102-174, HILO, HI 93720
(808) 327-9355
(808) 443-0405
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00000652
WA
171100000X
Acupuncturist
Primary
ACU-671
HI
171100000X
Acupuncturist
DOM 021
AR
Other
Enumeration date
05/05/2006
Last updated
07/22/2014
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