NPI 1457312308 DR. WENDELL E PETTY M.D. IDAHO FALLS ID. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Wendell E Petty - NPI: 1457312308

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. WENDELL E PETTY
NPI Number: 1457312308
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: MD-2580
Business Practice Address: 250 S Skyline Dr
Suite 3 Idaho Falls, ID - 834023292
Business Phone Number: 2085299292
Business Fax Number: 2085256013
Mailing Address: 250 S Skyline Dr, Suite 3
IDAHO FALLS
State: ID
Postal Code: 834023292
Phone Number: 2085299292
Fax Number: 2085256013
NPI Enumeration Date: 03/30/2006
NPI Last Update Date: 12/13/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207K00000X
License Number: MD-2580
Healthcare Provider Taxonomy:
(Secondary)
Y
State: ID
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Allergy & Immunology
Taxonomy Specialization:
Taxonomy Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


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