WENDELL E PETTY MD

IDAHO ALLERGY AND ASTHMA CLINIC PA

Dr WENDELL E PETTY MD is a male medical professional, specializing in Allergy/immunology. He graduated in 1972.

Contact

IDAHO ALLERGY AND ASTHMA CLINIC PA

3422 S 15TH
IDAHO FALLS
ID
834048262

Tel: 2085299292

WENDELL E PETTY MD Information

Npi 1457312308
Pac Id 0042268963
Professional Enrollment Id I20050107000247
Last Name PETTY
First Name WENDELL
Middle Name E
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1972
Primary Specialty ALLERGY/IMMUNOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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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