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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BENJAMIN J PETTUS, M.D., PHD

Active

DR. BENJAMIN J PETTUS, M.D., PHD is a Diagnostic Radiology healthcare provider located in NEWPORT NEWS, Virginia. NPI 1770596959 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · NEWPORT NEWS, VA

Registration Details

NPI Number
1770596959
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2006 (19.984886337407 yrs)
Last Updated
Jan 9, 2012
Licenses
2010003256 (MO)
0101249325 (VA)

Practice Information

Address
500 J. CLYDE MORRIS BLVD
RIVERSIDE REGIONAL MEDICAL CENTER
NEWPORT NEWS, VA, 236011929
Browse VA providers · Browse ZIP 23601
Phone
7575944405
Fax
7578676587
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in NEWPORT NEWS, VA

Name Credential NPI
RICHARD OHAGAN D.O. 1174522551
TIMOTHY P. FARRELL M.D 1891781571
DAVID L WEAVER 1689655771
WILLIAM CAMERON HOPE IV M.D. 1275516437
DR. ERIC D STURGILL M.D. 1437139425
DR. JAMES MCCALL GRIMSON M.D. 1801876677
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.