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
Gender :Male
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
NPI Entity Type : Individual
First Enrolment Date : 19 Aug, 2006
Last Updated On : 10 Sep, 2009
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYesM6067ID
Legacy Identifiers:
Other legacy medical identifiers of Robert John Pettit such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
1285786046MEDICAIDWY
000010005951OtherIDBLUE SHIELD
002298200MEDICAIDID
114945800MEDICAIDWY
0117419MEDICAIDMT
10678OtherIDBLUE 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
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. Last updated on 08 January, 2024.