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Organization

ANGELO A PETROPOLIS MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDY KAPLAN (CONTRACTING)
(520) 458-6331
Entity
Organization

Contact information

Practice address
1916 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4614
(520) 458-1505
(520) 458-6949
Mailing address
1916 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4614
(520) 458-1505
(520) 458-6949

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22192
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
325242
AZ
01
AZ0776240
BCBSAZ
AZ
Enumeration date
07/23/2006
Last updated
12/08/2011
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