Benjamin J Pettus in Newport News - Diagnostic Radiology
Benjamin J Pettus - NPI 1770596959
Benjamin J Pettus is a Diagnostic Radiology in Newport News, Virginia. Benjamin J Pettus practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Benjamin J Pettus is 1770596959. The last update date is 2012-01-09.
Benjamin J Pettus's current location address is P O Box 12087, Newport News, Virginia. You can contact this provider via phone number 7578676102 and fax number 7578676587. The mailing address for Benjamin J Pettus is P O Box 12087, Newport News, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin J Pettus |
|---|---|
| Address | P O Box 12087, Newport News, Virginia |
| Phone Number | 7578676102 |
| Fax Number | 7578676587 |
| Sole Proprietor | N |
| Credentials | M.D., PHD |
NPI Number Detail
| NPI Number | 1770596959 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2012-01-09 |
Provider Mailing Address Detail
| Address | P O Box 12087 |
|---|---|
| City | Newport News |
| State | Virginia (VA) |
| Post Code | 236122087 |
| Phone Number | 7578676102 |
| Fax Number | 7578676587 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 2010003256 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00980578 | VA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Benjamin J Pettus by the Centers for Medicare & Medicaid Services (CMS)?
The Benjamin J Pettus has been assigned the NPI (National Provider Identifier) 1770596959. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Benjamin J Pettus is located?
The Benjamin J Pettus is situated at the following address: P O Box 12087, Newport News, VA, 236122087.
What is Benjamin J Pettus's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Benjamin J Pettus is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Benjamin J Pettus receive its 1770596959 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin J Pettus was assigned its 1770596959 by the Centers for Medicare & Medicaid Services on 2006-08-15.
When was the information pertaining to Benjamin J Pettus most recently updated or revised?
The details related to Benjamin J Pettus, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-09.
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