Individual
DR. LLOYD PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
15 N 2030 E RM 2110, SALT LAKE CITY, UT 84112-5339
(801) 585-3353
Mailing address
15 N 2030 E RM 2110, SALT LAKE CITY, UT 84112-5339
(801) 585-3353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A-2226-19
NM
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
11605065-1204
UT
Other
Enumeration date
05/06/2016
Last updated
10/20/2022
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