Robert John Pettit
MD | Pediatrics | Male
Robert John Pettit, MD is a Idaho Falls, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Robert John Pettit is
3430 Washington Pkwy, Idaho Falls, Idaho - 83404-7579. He can be contacted on phone at
208-523-3060 and fax number 208-523-0028.
Robert John Pettit is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert John Pettit is
1518071174 which was assigned by NPPES on 19 Aug, 2006 and it was last updated on 10 Sep, 2009.
Robert John Pettit license number is
M6067 for Pediatrics (208000000X) in Idaho.
Robert John Pettit is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Robert John Pettit basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Robert John Pettit |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Robert John Pettit address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3430 Washington Pkwy
Idaho Falls, ID, 83404-7579
United States |
|---|
| Phone Number : | 208-523-3060 |
|---|
| Fax Number : | 208-523-0028 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518071174 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Aug, 2006 |
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| Last Updated On : | 10 Sep, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert John Pettit are as mentioned. Primary taxonomy code for Robert John Pettit, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M6067 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Robert John Pettit such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1285786046 | MEDICAID | WY | |
| 000010005951 | Other | ID | BLUE SHIELD |
| 002298200 | MEDICAID | ID | |
| 114945800 | MEDICAID | WY | |
| 0117419 | MEDICAID | MT | |
| 10678 | Other | ID | BLUE CROSS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3430 Washington Pkwy
Idaho Falls, ID, 83404-7579
United States |
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| Phone Number : | 208-523-3060 |
|---|
| Fax Number : | 208-523-0028 |
|---|
Business Location:
Patients can refer following map for directions to
Robert John Pettit practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.