Provider Demographics
NPI:1417950932
Name:PETTY, CHRISTINE A (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:A
Last Name:PETTY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6501 SOUTH FIDDLER'S GREEN CIRCLE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4931
Mailing Address - Country:US
Mailing Address - Phone:303-824-7266
Mailing Address - Fax:303-824-7212
Practice Address - Street 1:6501 S FIDDLERS GREEN CIR
Practice Address - Street 2:SUITE 320
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4931
Practice Address - Country:US
Practice Address - Phone:303-824-7266
Practice Address - Fax:303-824-7212
Is Sole Proprietor?:No
Enumeration Date:2005-05-30
Last Update Date:2010-05-06
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Provider Licenses
StateLicense IDTaxonomies
WI32496-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine