Petitgout, Inc.

NPI #1497168157 in Coralville, Iowa

Provider Information

NPI Number: 1497168157
Entity Type: Organization
Organization Name: Petitgout, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Jun 10, 2014
Last Updated: Jun 10, 2014

Practice Location

Address: 850 22ND AVE STE 3
City: Coralville
State: Iowa
ZIP Code: 52241-1688
Phone: (319) 530-9011

Authorized Official

Name: DR. CRAIG MICHAEL PETITGOUT, DC
Title: DOCTOR OF CHIROPRACTIC
Phone: (319) 530-9011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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