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Gary Pettitt

NPI 1669323077 · on the registry since 2026

Practice

Address
845 W 19th St
Fremont, NE 68025
Phone
(402) 317-1007
Clinicians at this address
2

Registry record

Primary taxonomy
372600000X
372600000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-04

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 Nebraska