Wendell Petty, M.D

NPI 1457312308 · on the registry since 2006

Practice

Address: 3422 S 15th E
Idaho Falls, ID 83404
Phone: (208) 529-9292
Fax: (208) 525-6013
Organisation at this address: Sawtooth Rehab, Pllc
Michael T Harris Md, Pc
Idaho Allergy & Asthma Clinic Pa
Family Resource Centers Of America, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 207K00000X
207K00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-21

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 Idaho