NPI 1013355817
Michael Duane Petty, CRNA
Practice location
- Address
- 101 W 8th Ave Mother Gamelin Center 3rd Floor, Spokane, WA 99204-2307
- Phone
- (509) 474-2072
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Anesthesiologist Assistant
Registry record
- NPI
- 1013355817
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jun 2013
- Record last updated
- 11 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.