# RICHARD M. PETRONELLA, MD.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366785479
- **Authorized official:** RICHARD M PETRONELLA MD (PRESIDENT)
- **Authorized official phone:** (520) 307-5479

## Contact information

- **Practice address:** 3705 N SWAN RD, TUCSON, AZ 85718-6939
- **Practice address phone:** (520) 298-3800
- **Practice address fax:** (520) 296-0979
- **Mailing address:** PO BOX 16593, TUCSON, AZ 85732-6593
- **Mailing address phone:** (520) 298-3800
- **Mailing address fax:** (520) 296-0979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20559 | AZ | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 03/27/2013