Individual
ANGELO A PETROPOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1916 PASEO SAN LUIS, SIERRA VISTA, AZ 85635
(520) 458-1505
(520) 458-6949
Mailing address
7300 RANCH ROAD 2222, BUILDING 1, STE 200, AUSTIN, TX 78730
(512) 628-0465
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
—
516118
AETNA
AZ
01
—
AZ0776240
BCBS AZ
—
Enumeration date
06/07/2006
Last updated
03/20/2023
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