CARSON PETTINGILL

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1649085804

Practice Address

1516 S 1100 E STE A
Salt Lake City, UT 84105

Phone: (435) 287-4197

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1649085804 is the National Provider Identifier for CARSON PETTINGILL, a Student in an Organized Health Care Education/Training Program provider located in Salt Lake City, UT. This NPI was enumerated on February 12, 2025.
CARSON PETTINGILL practices at 1516 S 1100 E STE A, Salt Lake City, UT 84105.

Quick Facts

NPI
1649085804
Type
Individual
Enumerated
Feb 12, 2025
Last Updated
Feb 12, 2025

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