Individual
STEPHEN RAY PETTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1875 BETHEL RD, COLUMBUS, OH 43220-1869
(614) 451-0472
(614) 451-0882
Mailing address
1875 BETHEL RD, COLUMBUS, OH 43220-1869
(614) 451-0472
(614) 451-0882
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
976
OH
Other
Enumeration date
09/20/2006
Last updated
10/11/2011
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