Individual
DR. PAUL ANTHONY PANNOZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8877 W UNION HILLS DR STE 200, PEORIA, AZ 85382-3016
(623) 776-8686
(623) 776-8687
Mailing address
8877 W UNION HILLS DR, 200, PEORIA, AZ 85382-3016
(623) 776-8686
(623) 776-8687
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
31052
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
31052
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
31052
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
31052
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858475
—
AZ
Enumeration date
06/01/2006
Last updated
11/07/2019
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