Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ROBERT PETTIT, M.D.
Active Sole ProprietorCHARLES ROBERT PETTIT, M.D. is a Facial Plastic Surgery healthcare provider located in SONOMA, California. NPI 1326183583 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · SONOMA, CA
Registration Details
- NPI Number
- 1326183583
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2007 (19.503336958657 yrs)
- Last Updated
- Jul 15, 2020
- License
-
A235594 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
181 ANDRIEUX ST STE 106SONOMA, CA, 954766920Browse CA providers · Browse ZIP 95476
- Phone
- 7079316485
- Fax
- 7075811766
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
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.