Corwin D. Petty, Md, Pa in Rogers - Family Medicine
Corwin D. Petty, Md, Pa - NPI 1881859593
Corwin D. Petty, Md, Pa is a Family Medicine in Rogers, Arkansas. Corwin D. Petty, Md, Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Corwin D. Petty, Md, Pa is 1881859593. The last update date is 2018-04-04.
Corwin D. Petty, Md, Pa's current location address is 3201 S Market St Ste 105, Rogers, Arkansas. You can contact this provider via phone number 4792541005 and fax number 4796684003. The mailing address for Corwin D. Petty, Md, Pa is 3201 S Market St Ste 105, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Corwin D. Petty, Md, Pa |
|---|---|
| Address | 3201 S Market St Ste 105, Rogers, Arkansas |
| Phone Number | 4792541005 |
| Fax Number | 4796684003 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER / PH |
|---|---|
| Authorized Official Name | Petty D Corwin |
| Credentials | MD |
| Telephone Number | 4792541005 |
NPI Number Detail
| NPI Number | 1881859593 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2018-04-04 |
Provider Mailing Address Detail
| Address | 3201 S Market St Ste 105 |
|---|---|
| City | Rogers |
| State | Arkansas (AR) |
| Post Code | 727588168 |
| Phone Number | 4792541005 |
| Fax Number | 4796684003 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5C680 | AR | BLUE CROSS BLUE SHIELD | |
| 149427002 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Corwin D. Petty, Md, Pa by the Centers for Medicare & Medicaid Services?
The Corwin D. Petty, Md, Pa has been issued the NPI (National Provider Identifier) 1881859593 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Corwin D. Petty, Md, Pa is physically located?
The Corwin D. Petty, Md, Pa is situated at the following address: 3201 S Market St Ste 105, Rogers, AR 727588168.
What is Corwin D. Petty, Md, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Corwin D. Petty, Md, Pa is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Corwin D. Petty, Md, Pa receive the assignment of its 1881859593 from the Centers for Medicare & Medicaid Services?
The Corwin D. Petty, Md, Pa was issued its 1881859593 by the Centers for Medicare & Medicaid Services on 2008-07-22.
As of what date were the details related to Corwin D. Petty, Md, Pa most recently updated or revised?
The information pertaining to Corwin D. Petty, Md, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-04.
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