Individual
MITCHELL RYAN PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2420 W PIERCE ST STE 102, CARLSBAD, NM 88220-3517
(575) 887-4100
Mailing address
419 W SAN ANTONIO ST, LOCKHART, TX 78644-2657
(512) 913-8036
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DO2025-0162
NM
Other
Enumeration date
04/07/2020
Last updated
10/09/2025
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