Individual provider · Type 1 NPI
William C. Petty, MD
Diagnostic Radiology Physician · Fort Wayne, IN
NPI number
1073565008
Active
Practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Mailing address
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 01038794 (IN) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1073565008
William C. Petty, MD's National Provider Identifier is 1073565008, issued on May 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.