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Jaron Pettis
NPI 1366903015 · on the registry since 2019
Practice
- Address
- 1331 State St Ste 340
La Porte, IN 46350 - Phone
- (219) 379-3166
- Organisation at this address
- La Porte Hospital Company Llc
La Porte Hospital Company Llc
La Porte Hospital Company Llc
Anesthesia Associates Of Laporte PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana