Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATTY K PETTWAY, D.O.
Active Sole ProprietorDR. PATTY K PETTWAY, D.O. is a Family Medicine healthcare provider located in HAVANA, Arkansas. NPI 1376506881 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HAVANA, AR
Registration Details
- NPI Number
- 1376506881
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2006 (20.391766773754 yrs)
- Last Updated
- Sep 18, 2015
- License
-
N8252 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 WEST BROADWAY STREETHAVANA, AR, 728420099Browse AR providers · Browse ZIP 72842
- Phone
- 4794762827
- Fax
- 4794762580
- Primary Specialty
-
Family Medicine
207Q00000X
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.