Individual
MR. PAUL AARON PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1715 N GEORGE MASON DR STE 503, ARLINGTON, VA 22205-3669
(703) 525-5542
(703) 525-2739
Mailing address
1715 N GEORGE MASON DR STE 503, ARLINGTON, VA 22205-3669
(703) 525-5542
(703) 525-2739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2306601709
VA
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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