Individual provider · Type 1 NPI

Donovan Pettiford

Private Vehicle · Indianapolis, IN

NPI number 1962974097 Active

Practice location

6128 Morning Dove Dr
Indianapolis, IN 46228-1097

Call (317) 366-3979 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X5330-20-5370 (IN)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1962974097

Donovan Pettiford's National Provider Identifier is 1962974097, issued on Dec 31, 2018. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 31, 2018.