Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN MATTHEW PETTEGREW, D.O.
ActiveDR. JONATHAN MATTHEW PETTEGREW, D.O. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in MODESTO, California. NPI 1053552745 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · MODESTO, CA
Registration Details
- NPI Number
- 1053552745
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2009 (17.440510049385 yrs)
- Last Updated
- Jun 23, 2014
- License
-
20A13395 (CA)
Practice Information
- Address
-
609 E ORANGEBURG AVESUITE 201MODESTO, CA, 953505512Browse CA providers · Browse ZIP 95350
- Phone
- 2095723224
- Fax
- 2095724528
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Other Adult Reconstructive Orthopaedic Surgery Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| MILTON CURTIS DAVID | M.D | 1730427782 |
| ANDREW TURNBULL FITHIAN | — | 1689107435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.