REGAN S PETTY OD

PETTY AND PETTY, P. A.

Dr REGAN S PETTY OD is a male medical professional, specializing in Optometry. He graduated in 2005.

Contact

PETTY AND PETTY, P. A.

101 DAWN DR
CENTERTON
AR
727199314

Tel: 4797951411

REGAN S PETTY OD Information

Npi 1588666499
Pac Id 4880613678
Professional Enrollment Id I20060314000026
Last Name PETTY
First Name REGAN
Middle Name S
Suffix
Gender M
Credential OD
Medical School Name OTHER
Graduation Year 2005
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PETTY AND PETTY, P. A.
Group Practice Pac Id 7517063159
Number Of Group Practice Members 2
Line 1 Street Address 101 DAWN DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CENTERTON
State AR
Zip Code 727199314
Phone Number 4797951411
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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