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KEITH PETTIBON, MD
MD
Diagnostic Radiology Physician
NPI: 1467744573Individual
Specialties, Licenses & Credentials
Vascular & Interventional Radiology Physician
Radiology — Vascular & Interventional Radiology
Code: 2085R0204X
R1614(TX)
Diagnostic Radiology PhysicianPrimary
Radiology — Diagnostic Radiology
Code: 2085R0202X
R1614(TX)
CMS Specialties
PrimaryDIAGNOSTIC RADIOLOGY
Education
OTHER
Class of 2011
Contact & Hours
- Address
- 815 PENNSYLVANIA AVE
FORT WORTH, TX 76104 - Phone
- (817) 321-0404
Quick Facts
- NPI
- 1467744573
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 15
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