NPI 1376877795

David Aaron Petty, DO

Practitioner Allergy Physician Idaho Falls, ID

Practice location

Address: 3422 S 15th E, Idaho Falls, ID 83404-8262
Phone: (208) 529-9292
Fax: (208) 523-2397

Registered specialties (2)

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence O-0796 (ID)

Other Allergy & Immunology providers in Idaho →

Allergy Physician

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence DO0000002408 (TN)

Registry record

NPI: 1376877795
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2009
Record last updated: 21 Jun 2019

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.