Carl Eugene Petty
Carl Eugene Petty is a Surgical Assistant in Spring Valley, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2962 Elm Tree CtSpring Valley, CA 91978-1965
Phone: (619) 200-9105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X |
Record details
| NPI number | 1366144941 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2023 |
| Last updated in NPPES | March 20, 2023 |
| Certification date | March 19, 2023 |
| Mailing address | 2962 Elm Tree Ct, Spring Valley, CA 91978-1965 |