Bruce A Petitt M.D. P.C.
Pediatrics in Tuscaloosa, AL. Organization (NPI-2).
NPI number1013077205
StatusActive
Last updated in NPPESDec 14, 2010
Details
- NPI
- 1013077205
- Entity type
- Organization (NPI-2)
- Legal business name
- Bruce A Petitt M.D. P.C.
- Organization subpart
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Dec 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Other names
- West Alabama Pediatrics (Doing Business As)
Practice location
1060 Fairfax ParkSuite C
Tuscaloosa, AL 35406-2806
Phone 205-752-7337 · Fax 205-752-8013
Mailing address
1060 Fairfax ParkSuite C
Tuscaloosa, AL 35406-2806
Phone 205-752-7337 · Fax 205-752-8013
Authorized official
Bruce A Petitt
Physician Owner
2057527337
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