Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID AARON PETTY, D.O.
ActiveDAVID AARON PETTY, D.O. is a Allergy healthcare provider located in IDAHO FALLS, Idaho. NPI 1376877795 is currently active in the NPPES registry. Verify at CMS.
Allergy · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1376877795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2009 (16.867233276913 yrs)
- Last Updated
- Jun 21, 2019
- Licenses
-
DO0000002408 (TN)O-0796 (ID)
Practice Information
- Address
-
3422 S 15TH EIDAHO FALLS, ID, 834048262Browse ID providers · Browse ZIP 83404
- Phone
- 2085299292
- Fax
- 2085232397
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Allergy
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.