Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL EUGENE PETTY
Active Sole ProprietorCARL EUGENE PETTY is a Surgical Physician Assistant healthcare provider located in SPRING VALLEY, California. NPI 1366144941 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SPRING VALLEY, CA
Registration Details
- NPI Number
- 1366144941
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2023 (3.443824023667 yrs)
- Last Updated
- Mar 20, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
2962 ELM TREE CTSPRING VALLEY, CA, 919781965Browse CA providers · Browse ZIP 91978
- Phone
- 6192009105
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.