Adam Adair Pettey in Roseville - Dermatology
Adam Adair Pettey - NPI 1629051677
Adam Adair Pettey is a Dermatology in Roseville, California. Adam Adair Pettey practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Adam Adair Pettey is 1629051677. The last update date is 2021-12-13.
Adam Adair Pettey's current location address is 1600 Eureka Rd, Roseville, California. You can contact this provider via phone number 9167716662. The mailing address for Adam Adair Pettey is 1600 Eureka Rd, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adam Adair Pettey |
|---|---|
| Address | 1600 Eureka Rd, Roseville, California |
| Phone Number | 9167716662 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629051677 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2021-12-13 |
Provider Mailing Address Detail
| Address | 1600 Eureka Rd |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956613027 |
| Phone Number | 9167716662 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME90875 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 48701 | FL | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the Adam Adair Pettey's 1629051677?
The Adam Adair Pettey's NPI (National Provider Identifier) Number is 1629051677. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Adam Adair Pettey is physically located?
The Adam Adair Pettey is physically situated at the following address: 1600 Eureka Rd, Roseville, CA, 956613027.
What is Adam Adair Pettey's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Adam Adair Pettey is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629051677 to Adam Adair Pettey?
The Centers for Medicare & Medicaid Services originally issued the 1629051677 to Adam Adair Pettey on 2005-11-23.
As of what date were the Adam Adair Pettey's details last updated?
The information pertaining to the Adam Adair Pettey, including its address, specialty, and other details, was most recently updated on 2021-12-13.