Dr. David Pettit
Emergency Medical Services
Dept #0861
Denver
, Colorado 80256-0001
Dr. David Pettit
Emergency Medical Services
Dept #0861
Denver
, Colorado 80256-0001
(970) 268-5009
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. David Pettit
- Po Box 346
- Mesa, CO
- Zip : 81643-0346
- Phone : (970) 268-5009
Second Address
- Dr. David Pettit
- Dept #0861
- Denver, CO
- Zip : 80256-0001
- Fax : (616) 975-9824
- Phone : (866) 898-7136
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 44370 | CO |
National Provider Identifier
| NPI | 1023039724 |
|---|---|
| Provider Name | Dr. David Pettit |
| First Address | Mesa, CO 81643-0346 |
| Second Address | Denver, CO 80256-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 08/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 27581322 | (05) | CO |
| I48541 | (02) | |
| P00337534 | RAILROAD (01) | |
| PENDING | CHAMPUS (01) | CO |
| T0550 | (05) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.