Individual provider · Type 1 NPI
Damon C. Pettigrew
Student in an Organized Health Care Education/Training Program · Phoenix, AZ
NPI number
1669224747
Active
Practice location
11623 N 40th Way
Phoenix, AZ 85028-2216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1669224747
Damon C. Pettigrew's National Provider Identifier is 1669224747, issued on Apr 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 3, 2024.