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1215013891
MICHAEL JAMES PETTIT
FORT WORTH, TX
NPI
1215013891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX L4643)
Enumeration Date
2006-10-27
Last Update Date
2012-08-13
Business Address
Dr. MICHAEL JAMES PETTIT MD
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0387
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Mailing Address
Dr. MICHAEL JAMES PETTIT MD
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0387
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