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Dr. Wendell E Petty, MD
Allergy & Immunology Physician in Idaho Falls, Idaho
NPI 1457312308

Wendell E Petty is an Allergy & Immunology Physician based in Idaho Falls, ID. Wendell E Petty practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Wendell E Petty is 1457312308 and holds a License No. MD-2580 (Idaho).

The current practice location address for Wendell E Petty is 3422 S 15Th E, Idaho Falls, ID and can be reached out via phone at 208-529-9292 and via fax at 208-525-6013. You can also correspond with Wendell E Petty through the mailing address at 3422 S 15TH E, IDAHO FALLS, ID - 83404-8262 (mailing address contact number: 208-529-9292).

Location: 3422 S 15Th E, Idaho Falls, ID, 83404-8262
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Provider Profile Details
NPI Number
1457312308
Provider Name
Wendell E Petty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3422 S 15Th E, Idaho Falls, ID, 83404-8262
Phone Number
208-529-9292
Fax Number
208-525-6013
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76891 01 ID BLUE CROSS
000010004631 01 ID BLUE SHIELD
002516900 05 ID
030000684 01 ID RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3422 S 15Th E
City
State
Zip
83404-8262
Phone Number
208-529-9292
Fax Number
208-525-6013
person
Provider Business Mailing Address Details
Address
3422 S 15Th E
City
State
Zip
83404-8262
Phone Number
208-529-9292
Fax Number
208-525-6013
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
License No.
MD-2580 (Idaho)
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
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