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Russell Petty, MD
Family Medicine Physician in Cando, North Dakota
NPI 1043245277

Russell Petty is a Family Medicine Physician based in Cando, ND. Russell Petty practices in Cando, ND and has the professional credentials of MD. The NPI Number for Russell Petty is 1043245277 and holds a License No. 3895 (North Dakota).

The current practice location address for Russell Petty is Highway 281 North, Cando, ND and can be reached out via phone at 701-968-2541 and via fax at 701-968-2574.

Location: Highway 281 North, Cando, ND, 58324-0688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043245277
Provider Name
Russell Petty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Highway 281 North, Cando, ND, 58324-0688
Phone Number
701-968-2541
Fax Number
701-968-2574
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12622 05 ND
21510 01 ND BCBS PROVIDER #
24029 01 ND BCBS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
Highway 281 North
City
Cando
State
North Dakota
Zip
58324-0688
Phone Number
701-968-2541
Fax Number
701-968-2574
person
Provider Business Mailing Address Details
Address
Highway 281 North
City
Cando
State
North Dakota
Zip
58324-0688
Phone Number
701-968-2541
Fax Number
701-968-2574
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
3895 (North Dakota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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