IndividualActive
Grant Petty, MD
NPI 1154438315 · Diagnostic Radiology Physician · Huntington, WV
Provider details
- NPI number
- 1154438315
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35089226 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3448 US Route 60
Huntington, WV 25705-2906
Phone: (304) 522-1550
Fax: (304) 522-0704
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 910
Huntington, WV 25712-0910
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.