Search › Washington › 111NR0400X
Sam Pettibon, D.O
NPI 1386860492 · on the registry since 2007
Practice
- Address
- 30804 Pacific Hwy S
Federal Way, WA 98003 - Phone
- (253) 839-5644
- Fax
- (253) 839-2625
- Organisation at this address
- Pettibon Chiropractic Clinic Of Federal Way Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111NR0400X
111NR0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington