John E Petty DC PC

NPI #1821121872 in Longview, Texas

Provider Information

NPI Number: 1821121872
Entity Type: Organization
Organization Name: John E Petty DC PC
Primary Specialty: Chiropractor
Enumeration Date: Mar 13, 2007
Last Updated: Sep 21, 2011

Practice Location

Address: 452 FOREST SQ
City: Longview
State: Texas
ZIP Code: 75605-4401
Phone: (903) 757-3400

Authorized Official

Name: DR. JOHN E PETTY, D.C.
Title: OWNER
Phone: (903) 757-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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