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Individual
PETER MICHAEL PETRILLO
Active
Individual
PETER MICHAEL PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
011626
AZ
363A00000X
Physician Assistant
7881
AZ
363A00000X
Physician Assistant
PA22937
CA
363AS0400X
Surgical Physician Assistant
001288
CT
363AS0400X
Surgical Physician Assistant
PA22937
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
06/18/2026
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