Organization
RICHARD M. PETRONELLA, MD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M PETRONELLA MD (PRESIDENT)
(520) 307-5479
Entity
Organization
Contact information
Practice address
3705 N SWAN RD, TUCSON, AZ 85718-6939
(520) 298-3800
(520) 296-0979
Mailing address
PO BOX 16593, TUCSON, AZ 85732-6593
(520) 298-3800
(520) 296-0979
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20559
AZ
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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