Individual
PAUL MAZZARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7802 N 43RD AVE, 5, GLENDALE, AZ 85301-8111
(623) 915-1000
(623) 934-0224
Mailing address
7802 N 43RD AVE, 5, GLENDALE, AZ 85301-8111
(623) 915-1000
(623) 934-0224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18157
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410887
—
AZ
Enumeration date
06/28/2006
Last updated
03/15/2013
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