Organization
PETITGOUT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG MICHAEL PETITGOUT DC (DOCTOR OF CHIROPRACTIC)
(319) 530-9011
Entity
Organization
Contact information
Practice address
850 22ND AVE STE 3, CORALVILLE, IA 52241-1688
(319) 530-9011
(319) 834-1128
Mailing address
850 22ND AVE STE 3, CORALVILLE, IA 52241-1688
(319) 530-9011
(319) 834-1128
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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