Individual
PAUL M PETELIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14275 N 87TH ST, STE 110, SCOTTSDALE, AZ 85260-3696
(480) 905-8485
(480) 905-7274
Mailing address
14275 N 87TH ST, STE 110, SCOTTSDALE, AZ 85260-3696
(480) 905-8485
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
5845
AZ
208600000X
Surgery Physician
Primary
5845
AZ
Other
Enumeration date
12/17/2007
Last updated
11/07/2019
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