Individual
EASTON PETITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4215 FUDGES CREEK RD, BARBOURSVILLE, WV 25504-8010
(304) 417-1596
Mailing address
1542 SPRING VALLEY DR, HUNTINGTON, WV 25704-9501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
05/06/2026
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