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Brandon Pettis
NPI 1922963560 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4324 Ohio St
Omaha, NE 68111 - Phone
- (531) 323-3299
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-17
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