Dix Pettey
Medical Specialty
Professional ID
- NPI: 1629457262
- PECOS ID: 1658683735
- Enrollment ID: I20150701002664
- Credential(MD, DO, DPM):
- Medical School: Ohio State University - College Of Optometry
- Medical School Graduation Year: 2010
Hospital Service
- Hospital CCN1: 460009
- Business Name (LBN)1: University Health Careuniv Hospitals And Clinics
Medical Practices
- Organization Name: University Of Utah Adult Services
- Group Practice ID assigned by PECOS: 0941525273
- Number of Group Practice member: 1169
Location
- Address1: 65 S Mario Capecchi Dr
- Address2:
- City: Salt Lake City
- State: Utah
- Zip Code: 84132
- Phone Number: (801)581-2352
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes