Dr DAVID A PETTY is a male medical professional, specializing in Allergy/immunology. He graduated in 2009.
IDAHO ALLERGY AND ASTHMA CLINIC PA
3422 S 15TH
IDAHO FALLS
ID
834048262
Tel: 2085299292
| Npi | 1376877795 |
| Pac Id | 5496991465 |
| Professional Enrollment Id | I20141023000991 |
| Last Name | PETTY |
| First Name | DAVID |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialty 1 | PEDIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PEDIATRIC MEDICINE |
| Organization Legal Name | IDAHO ALLERGY AND ASTHMA CLINIC PA |
| Group Practice Pac Id | 2860440732 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 3422 S 15TH |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834048262 |
| Phone Number | 2085299292 |
| Hospital Affiliation Ccn 1 | 130025 |
| Hospital Affiliation Lbn 1 | MADISON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 130018 |
| Hospital Affiliation Lbn 2 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 130065 |
| Hospital Affiliation Lbn 3 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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