Whalio Doctors

NPI 1023107356

Frederick Petty, MD

Practitioner Psychiatry Physician Omaha, NE

Practice location

Address
4101 Woolworth Ave 116a, Omaha, NE 68105-1850
Phone
(402) 346-8800
Fax
(402) 449-0677

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 21938 (NE)

Registry record

NPI
1023107356
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Oct 2006
Record last updated
8 Jul 2007

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.