Individual provider · Type 1 NPI

Carson William Pettingill

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1649085804 Active

Practice location

1516 S 1100 E Ste A
Salt Lake City, UT 84105-2577

Call (435) 287-4197 Map

Mailing address

2630 E Stringham Ave Apt A309
Salt Lake City, UT 84109-4906

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649085804

Carson William Pettingill's National Provider Identifier is 1649085804, issued on Feb 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 12, 2025.