person
Grant Douglas Petty, MD
Diagnostic Radiology Physician in Huntington, West Virginia
NPI 1154438315

Grant Douglas Petty is a Diagnostic Radiology Physician based in Huntington, WV and is specialized in Diagnostic Radiology. Grant Douglas Petty practices in Huntington, WV and has the professional credentials of MD. The NPI Number for Grant Douglas Petty is 1154438315 and holds a License No. 35089226 (West Virginia).

The current practice location address for Grant Douglas Petty is 3448 Us Route 60, Huntington, WV and can be reached out via phone at 304-522-1550 and via fax at 304-522-0704.

Location: 3448 Us Route 60, Huntington, WV, 25712-0910
person
Provider Profile Details
NPI Number
1154438315
Provider Name
Grant Douglas Petty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3448 Us Route 60, Huntington, WV, 25712-0910
Phone Number
304-522-1550
Fax Number
304-522-0704
Provider Enumeration Date
08/24/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7389831 01 AETNA
2732556 05 OH
7100014760 05 KY
P00413759 01 WV RR MEDICARE
000000221879 01 OH UNISON
3810008705 05 WV
50017454 01 KY PASSPORT
001962777 01 WV MTN ST BCBS
550493376 00 01 WV WV WORKER'S COMPENSATION
institution
Provider Business Practice Location Address Details
Address
3448 Us Route 60
City
State
Zip
25705-2906
Phone Number
304-522-1550
Fax Number
304-522-0704
person
Provider Business Mailing Address Details
Address
3448 Us Route 60
City
State
Zip
25705-2906
Phone Number
304-522-1550
Fax Number
304-522-0704
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
35089226 (Ohio)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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