Dominique Terrell Pettis

  • NPI 1184968570
According to our database, the NPI number for Dominique Terrell Pettis is 1184968570 and activated since 11 years ago. Dominique Terrell Pettis is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 2275 E. Cooley Dr, Colton, CA 92324. You can also contact Dominique Terrell Pettis via telephone number is (909) 370-1777. Provider NPI information was last updated on 11/26/2012.

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Overview of Dominique Terrell Pettis

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/26/2012
  • Last updated: 11/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 16519 Welsh Ct
    Moreno Valley, CA 92555
  • Phone: 951-566-6291
  • Fax:

Provider Practice Location

  • Address: 2275 E. Cooley Dr
    Colton, CA 92324
  • Phone: 909-370-1777
  • Fax: 909-370-1776

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dominique Terrell Pettis?
  • A: The npi number for Dominique Terrell Pettis is 1184968570.
  • Q: What are Dominique Terrell Pettis's specialties?
  • A: Dominique Terrell Pettis's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Dominique Terrell Pettis?
  • A: The medical license number for Dominique Terrell Pettis is unknow and issued in unknow in USA.
  • Q: Where is Dominique Terrell Pettis practice location?
  • A: Dominique Terrell Pettis is practicing at 2275 E. Cooley Dr, Colton, CA 92324.
  • Q: How to contact Dominique Terrell Pettis?
  • A: You can contact Dominique Terrell Pettis via 909-370-1777.