Matthew Petty DVM

NPI 1083093025 - Veterinarian - 174M00000X

NPI Details
NPI 1083093025
Gender Male
Enumeration Date 05/22/2015
Last Updated 05/22/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
30016 OLD LINCOLN HWY
WANSHIP UT, 84017-9607, US
Phone (812) 219-2127
Fax
Business Location
30016 OLD LINCOLN HWY
WANSHIP UT, 84017-9607, US
Phone
Fax
Toxanomy
Taxonomy Code 174M00000X
License State Utah
License Number 9116831-2802
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According to our database, Matthew Petty DVM NPI is 1083093025, taxonomy code is 174M00000X and license number is 9116831-2802, license state is located at Utah. Matthew Petty DVM physically located at 30016 Old Lincoln Hwy, Wanship UT, 84017-9607. NPI Number Matthew Petty DVM has the Individual type.

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1083093025 NPI number is provided on an as is basis without warranty of any kind. 1083093025 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Petty DVM are for informational purposes only.