Jaron Lee Pettis, | |
1331 State St Ste 340, La Porte, IN 46350-3112 | |
(219) 379-3166 | |
Not Available |
Full Name | Jaron Lee Pettis |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1331 State St Ste 340, La Porte, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366903015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01094579A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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Jaron Lee Pettis, 1331 State St Ste 340, La Porte, IN 46350-3112 Ph: () - | Jaron Lee Pettis, 1331 State St Ste 340, La Porte, IN 46350-3112 Ph: (219) 379-3166 |
Christopher Adam Conn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Legacy Plz W, La Porte, IN 46350 Phone: 219-379-3166 Fax: 219-324-9730 | |
Brian G Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 I St Fl 2, La Porte, IN 46350 Phone: 219-575-6060 Fax: 219-575-6004 | |
Dr. Dorene Kay Zerfas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350 Phone: 219-362-8523 Fax: 219-324-9396 | |
Dr. Steven William Chmil, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350 Phone: 219-362-8523 Fax: 219-324-9396 | |
Dr. David Samuel Mendelowitz, MD Surgery Medicare: Medicare Enrolled Practice Location: 1300 State Street, Suite 2c, La Porte, IN 46350 Phone: 219-325-0152 Fax: 219-325-8621 | |
James T Cornwell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 I St, La Porte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602 |