Paul M Petelin SR.
Surgeon Procedural Dermatology
14275 N 87th St Ste 110
Scottsdale
, Arizona 85260-3696
Paul M Petelin SR.
Surgeon Procedural Dermatology
14275 N 87th St Ste 110
Scottsdale
, Arizona 85260-3696
(480) 905-8485
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About
Features
Specialties
- Procedural Dermatology
- Surgeon
Languages spoken
- English
Location
First Address
- Paul M Petelin SR.
- 14275 N 87th St Ste 110
- Scottsdale, AZ
- Zip : 85260-3696
- Phone : (480) 905-8485
Second Address
- Paul M Petelin SR.
- 14275 N 87th St Ste 110
- Scottsdale, AZ
- Zip : 85260-3696
- Fax : (480) 905-7274
- Phone : (480) 905-8485
Reviews
FAQs
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What type of doctor is Paul M Petelin SR.
In what state does Paul M Petelin SR. practice in?
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Is Paul M Petelin SR. a sole practitioner?
Is Paul M Petelin SR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207NS0135X | Procedural Dermatology | 5845 | AZ |
| Y | 208200000X | Surgeon | 5845 | AZ |
| Y | 208600000X | Surgeon | 5845 | AZ |
National Provider Identifier
| NPI | 1124201819 |
|---|---|
| Provider Name | Paul M Petelin SR. |
| First Address | Scottsdale, AZ 85260-3696 |
| Second Address | Scottsdale, AZ 85260-3696 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2007 |
| Last Update Date | 07/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D00109 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.