Carl Eugene Petty
NPI #1366144941 in Spring Valley, California
Provider Information
- NPI Number
- 1366144941
- Entity Type
- Individual
- Name
- Carl Eugene Petty
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Mar 20, 2023
- Last Updated
- Mar 20, 2023
Practice Location
- Address
- 2962 ELM TREE CT
- City
- Spring Valley
- State
- California
- ZIP Code
- 91978-1965
- Phone
- (619) 200-9105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
| Physician Assistant - Surgical — Surgical |
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