Jon M Pettibon D.C.

NPI 1639227366 - Chiropractor - 111N00000X

NPI Details
NPI 1639227366
Gender Male
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3837 S 12TH ST
TACOMA WA, 98405-2138, US
Phone (253) 752-3501
Fax (253) 752-3504
Business Location
3837 S 12TH ST
TACOMA WA, 98405-2138, US
Phone (253) 752-3501
Fax (253) 752-3504
Toxanomy
Taxonomy Code 111N00000X
License State Washington
License Number CH00001455
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According to our database, Dr. Jon M Pettibon D.C. NPI is 1639227366, taxonomy code is 111N00000X and license number is CH00001455, license state is located at Washington. Jon M Pettibon D.C. physically located at 3837 S 12th St, Tacoma WA, 98405-2138. NPI Number Jon M Pettibon D.C. has the Individual type.

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1639227366 NPI number is provided on an as is basis without warranty of any kind. 1639227366 is maintained by the National Plan & Provider Enumeration System. The contents of Jon M Pettibon D.C. are for informational purposes only.