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Mr. Gregory Petty, PA-C
Physician Assistant in San Diego, California
NPI 1558557785

Gregory Petty is a Physician Assistant based in San Diego, CA. Gregory Petty practices in San Diego, CA and has the professional credentials of PA-C. The NPI Number for Gregory Petty is 1558557785 and holds a License No. 005159 (California).

The current practice location address for Gregory Petty is 3350 La Jolla Village Dr, San Diego, CA and can be reached out via phone at 858-552-8585.

Location: 3350 La Jolla Village Dr, San Diego, CA, 92161-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558557785
Provider Name
Gregory Petty
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3350 La Jolla Village Dr, San Diego, CA, 92161-0002
Phone Number
858-552-8585
Fax Number
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58-2155150 01 GA COMPANY TAX ID
institution
Provider Business Practice Location Address Details
Address
3350 La Jolla Village Dr
City
San Diego
State
California
Zip
92161-0002
Phone Number
858-552-8585
Fax Number
person
Provider Business Mailing Address Details
Address
3350 La Jolla Village Dr
City
San Diego
State
California
Zip
92161-0002
Phone Number
858-552-8585
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
005159 (Georgia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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