DR. Mark Edgar Pettay, D.C.

NPI #1407979313 in Groveport, Ohio

Provider Information

NPI Number: 1407979313
Entity Type: Individual
Name: DR. Mark Edgar Pettay, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 495 MAIN ST
Address 2: SUITE D
City: Groveport
State: Ohio
ZIP Code: 43125-1184
Phone: (614) 836-7227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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