Opal E. Pettis MD

NPI 1083798060 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1083798060
Gender Female
Enumeration Date 10/25/2006
Last Updated 07/29/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2301 M ST NW
KAISER PERMANENTE NORTHWEST DC MEDICAL CENTER
WASHINGTON DC, 20037-1427, US
Phone (202) 419-6200
Fax
Business Location
2101 E JEFFERSON ST
KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-2424
Fax
Toxanomy
Taxonomy Code 2084P0804X
License State California
License Number A48065
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According to our database, Dr. Opal E. Pettis MD NPI is 1083798060, taxonomy code is 2084P0804X and license number is A48065, license state is located at California. Opal E. Pettis MD physically located at 2301 M St Nw, Washington DC, 20037-1427. NPI Number Opal E. Pettis MD has the Individual type.

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1083798060 NPI number is provided on an as is basis without warranty of any kind. 1083798060 is maintained by the National Plan & Provider Enumeration System. The contents of Opal E. Pettis MD are for informational purposes only.