Individual provider · Type 1 NPI
Charles Robert Pettit, MD
Otolaryngology/Facial Plastic Surgery Physician · Sonoma, CA
NPI number
1326183583
Active
Practice location
181 Andrieux St Ste 106
Sonoma, CA 95476-6920
Fax (707) 581-1766
Mailing address
PO Box 4489
Carmel, CA 93921-4489
Other practice locations
- 833 Cass St, Monterey, CA 93940-2904 · (707) 931-6485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | A235594 (CA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2 other providers at this address
About NPI 1326183583
Charles Robert Pettit, MD's National Provider Identifier is 1326183583, issued on Feb 21, 2007. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Sonoma, CA. The record was last updated on Jul 15, 2020.