Mitchell Ryan Petty

NPI #1407485808 in Carlsbad, New Mexico

Provider Information

NPI Number: 1407485808
Entity Type: Individual
Name: Mitchell Ryan Petty
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Enumeration Date: Apr 7, 2020
Last Updated: Oct 9, 2025

Practice Location

Address: 2420 W PIERCE ST STE 102
City: Carlsbad
State: New Mexico
ZIP Code: 88220-3517
Phone: (575) 887-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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