Mark Edgar Pettay D.C.

NPI 1407979313 - Chiropractor - 111N00000X

NPI Details
NPI 1407979313
Gender Male
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
495 MAIN ST
SUITE D
GROVEPORT OH, 43125-1184, US
Phone (614) 836-7227
Fax (614) 836-3038
Business Location
495 MAIN ST
SUITE D
GROVEPORT OH, 43125-1184, US
Phone (614) 836-7227
Fax (614) 836-3038
Toxanomy
Taxonomy Code 111N00000X
License State Ohio
License Number 1755
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According to our database, Dr. Mark Edgar Pettay D.C. NPI is 1407979313, taxonomy code is 111N00000X and license number is 1755, license state is located at Ohio. Mark Edgar Pettay D.C. physically located at 495 Main St, Groveport OH, 43125-1184. NPI Number Mark Edgar Pettay D.C. has the Individual type.

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1407979313 NPI number is provided on an as is basis without warranty of any kind. 1407979313 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Edgar Pettay D.C. are for informational purposes only.