Andrew Pettibon, LMP

NPI 1457579385 · on the registry since 2007 · sole proprietor

Practice

Address: 4141 6th Ave
Suite 2
Tacoma, WA 98406
Phone: (253) 228-0889
Organisation at this address: Fern Infant Feeding And Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Washington