Wendell E Petty in Idaho Falls - Allergy & Immunology
Wendell E Petty - NPI 1457312308
Wendell E Petty is a Allergy & Immunology in Idaho Falls, Idaho. Wendell E Petty practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Wendell E Petty is 1457312308. The last update date is 2019-06-21.
Wendell E Petty's current location address is 3422 S 15th E, Idaho Falls, Idaho. You can contact this provider via phone number 2085299292 and fax number 2085256013. The mailing address for Wendell E Petty is 3422 S 15th E, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendell E Petty |
|---|---|
| Address | 3422 S 15th E, Idaho Falls, Idaho |
| Phone Number | 2085299292 |
| Fax Number | 2085256013 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457312308 |
|---|---|
| Provider Enumeration Date | 2006-03-30 |
| Last Updated Date | 2019-06-21 |
Provider Mailing Address Detail
| Address | 3422 S 15th E |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834048262 |
| Phone Number | 2085299292 |
| Fax Number | 2085256013 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | MD-2580 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76891 | ID | BLUE CROSS | |
| 10004631 | ID | BLUE SHIELD | |
| 2516900 | ID | -- | |
| 30000684 | ID | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Wendell E Petty by the Centers for Medicare & Medicaid Services?
The Wendell E Petty has been assigned the NPI (National Provider Identifier) 1457312308. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Wendell E Petty is physically located?
The Wendell E Petty is physically situated at the following address: 3422 S 15Th E, Idaho Falls, ID, 834048262.
What is the Wendell E Petty's area of specialization and corresponding taxonomy classification?
The Wendell E Petty's specialty field is Allergy & Immunology, and it falls under the taxonomy code 207K00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457312308 to Wendell E Petty?
The Centers for Medicare & Medicaid Services originally issued the 1457312308 to Wendell E Petty on 2006-03-30.
As of what date was the information pertaining to Wendell E Petty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wendell E Petty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-06-21.
NPI Number: 1902802911
Address: 5593 Stewart St, Milton, FL