Individual provider · Type 1 NPI
Jonathan Matthew Pettegrew, DO
Sports Medicine (Orthopaedic Surgery) Physician · Modesto, CA
Practice location
609 E Orangeburg Ave, Suite 201
Modesto, CA 95350-5512
Fax (209) 572-4528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Sports Medicine (Orthopaedic Surgery) Physician Primary | 207XX0005X | 20A13395 (CA) |
Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic 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 te…
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About NPI 1053552745
Jonathan Matthew Pettegrew, DO's National Provider Identifier is 1053552745, issued on Mar 10, 2009. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Modesto, CA. The record was last updated on Jun 23, 2014.