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Dr. Jonathan Matthew Pettegrew, DO
Sports Medicine (Orthopedic Surgery) Physician in Modesto, California
NPI 1053552745

Jonathan Matthew Pettegrew is a Sports Medicine (Orthopedic Surgery) Physician based in Modesto, CA and is specialized in Sports Medicine. Jonathan Matthew Pettegrew practices in Modesto, CA and has the professional credentials of DO. The NPI Number for Jonathan Matthew Pettegrew is 1053552745 and holds a License No. (California).

The current practice location address for Jonathan Matthew Pettegrew is 609 E Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-572-3224 and via fax at 209-572-4528.

Location: 609 E Orangeburg Ave, Modesto, CA, 95350-5512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053552745
Provider Name
Jonathan Matthew Pettegrew
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
609 E Orangeburg Ave, Modesto, CA, 95350-5512
Phone Number
209-572-3224
Fax Number
209-572-4528
Provider Enumeration Date
03/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5512
Phone Number
209-572-3224
Fax Number
209-572-4528
person
Provider Business Mailing Address Details
Address
609 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5512
Phone Number
209-572-3224
Fax Number
209-572-4528
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Sports Medicine
Taxonomy
207XX0005X
License No.
20A13395 (California)
Definition
An orthopedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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