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Scott S Petty, MD
Neurology Physician in Pocatello, Idaho
NPI 1881754901

Scott S Petty is a Neurology Physician based in Pocatello, ID and is specialized in Neurology. Scott S Petty practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for Scott S Petty is 1881754901 and holds a License No. M4325 (Idaho).

The current practice location address for Scott S Petty is 1777 E Clark St, Pocatello, ID and can be reached out via phone at 208-233-1033. You can also correspond with Scott S Petty through the mailing address at 1777 E CLARK ST, POCATELLO, ID - 83201-3357 (mailing address contact number: 208-233-1033).

Location: 1777 E Clark St, Pocatello, ID, 83201-3357
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Provider Profile Details
NPI Number
1881754901
Provider Name
Scott S Petty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1777 E Clark St, Pocatello, ID, 83201-3357
Phone Number
208-233-1033
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000100000107 01 BLUE SHIELD
43257 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1777 E Clark St
City
State
Zip
83201-3357
Phone Number
208-233-1033
Fax Number
person
Provider Business Mailing Address Details
Address
1777 E Clark St
City
State
Zip
83201-3357
Phone Number
208-233-1033
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
M4325 (Idaho)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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