WAYMOND JAY PETTIT

DECATUR, IL
NPI1679720726
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IL  036051290)
Enumeration Date2008-08-20
Last Update Date2008-08-20
Business Address
Dr. WAYMOND JAY PETTIT M.D.
3620 S TAYLOR RD
DECATUR, IL 62521-9015
Phone number: 217-454-0022
Mailing Address
Dr. WAYMOND JAY PETTIT M.D.
451 E 1000 N
LA PORTE, IN 46350-8638
Phone number: 219-778-8524