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Organization
JOHN E PETTY DC PC
Active
Organization
JOHN E PETTY DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E PETTY D.C. (OWNER)
(903) 757-3400
Entity
Organization
Contact information
Practice address
452 FOREST SQ, LONGVIEW, TX 75605-4401
(903) 757-3400
(903) 753-9663
Mailing address
452 FOREST SQ, LONGVIEW, TX 75605-4401
(903) 757-3400
(903) 753-9663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009342-01
—
TX
Enumeration date
03/13/2007
Last updated
09/21/2011
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