Male or Other

Cory Pettit

Dermatology Physician in Westerville, OH(View on Map)

Full Name

Cory Pettit

NPI Number

1093277840

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/02/2019

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

35.147858

Contact
Information

Purpose

Mailing
Location

Address

THE OHIO STATE UNIVERSTY WEXNER MEDICAL CENTER
430 ALTAIR PKWY STE 210

City

Columbus
Westerville

State

OH
OH

Postal Code

43210
43082-7647

Country

US
US

Telephone Number

(614) 293-3989
(614) 898-7546

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/18/2023

Provider Address

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