David Aaron Petty, DO | |
3422 S 15th E, Idaho Falls, ID 83404-8262 | |
(208) 529-9292 | |
(208) 523-2397 |
Full Name | David Aaron Petty |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 15 Years |
Location | 3422 S 15th E, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376877795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KA0200X | Allergy & Immunology - Allergy | DO0000002408 (Tennessee) | Secondary |
207KA0200X | Allergy & Immunology - Allergy | O-0796 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain View Hospital | Idaho falls, ID | Hospital |
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Allergy And Asthma Clinic Pa | 2860440732 | 3 |
Entity Name | Idaho Allergy & Asthma Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003949298 PECOS PAC ID: 2860440732 Enrollment ID: O20071017000965 |
Mailing Address | Practice Location Address |
---|---|
David Aaron Petty, DO 3422 S 15th E, Idaho Falls, ID 83404-8262 Ph: (208) 529-9292 | David Aaron Petty, DO 3422 S 15th E, Idaho Falls, ID 83404-8262 Ph: (208) 529-9292 |
Dallas George Rindfleisch, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3155 Channing Way Ste A, Idaho Falls, ID 83404 Phone: 208-522-6044 Fax: 208-523-4862 | |
Dr. Wendell E Petty, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3422 S 15th E, Idaho Falls, ID 83404 Phone: 208-529-9292 Fax: 208-525-6013 |