Frederick Petty M.D.

NPI 1023107356 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1023107356
Gender Male
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4101 WOOLWORTH AVE
116A
OMAHA NE, 68105-1850, US
Phone (402) 346-8800
Fax (402) 449-0677
Business Location
4101 WOOLWORTH AVE
116A
OMAHA NE, 68105-1850, US
Phone (402) 346-8800
Fax (402) 449-0677
Toxanomy
Taxonomy Code 2084P0800X
License State Nebraska
License Number 21938
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According to our database, Dr. Frederick Petty M.D. NPI is 1023107356, taxonomy code is 2084P0800X and license number is 21938, license state is located at Nebraska. Frederick Petty M.D. physically located at 4101 Woolworth Ave, Omaha NE, 68105-1850. NPI Number Frederick Petty M.D. has the Individual type.

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1023107356 NPI number is provided on an as is basis without warranty of any kind. 1023107356 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Petty M.D. are for informational purposes only.